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DISTRIBUTOR INTEREST FORM
Kathy Dallas Distributor Interest Form

To view and print a digital copy of the Kathy Dallas catalog, Click Here.

Please complete the form below and submit using the send info button.

Name:
Title:
Company:
Address:
City, State, Zip:
Phone:
Fax:
Email:

Company Information
Number of years in business:    Number of retailers you supply: 
Annual Sales:                           Number of employees: 

Marketing Objective
 Direct Importer  Wholesaler  Agent  Retailer
 Direct Sales  Distributor  Government Agencies

Product Interest
 Skin Care Products  Hair Care Products
 Vitamins-Health Products Dermatology/Cosmeceuticals
 Other (specify): 

Please Check the Type of Distribution You will Use to Sell Our Products in Your Country:
 Department Stores  Health Spas  Telemarketing Using TV
 Retail Stores  Dermatologists  Government Agencies
 Catalog Mail Order  Pharmacies  Beauty Shops
 Direct Marketing  Health Food Stores  Weight Loss Centers
 Food Stores  Wholesale Dists.  Cosmetic Stores
 Doctors  Hospitals  Other:
Comments:




DISTRIBUTORSHIPS AND PRIVATE LABELING AVAILABLE

To view and print a digital copy of the Kathy Dallas catalog, Click Here.