EarCandleLady.com
Distributor Registration Page
Distributor Registration Page
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Professional Practitioner / Distributor Registration
Referring Distributor: EarCandles.net
Practitioner / Distributor Information
Social Sec. # (we will contact you directly for this information)
Name of Applicant
Mailing Address
City, State, Zip
Phone
Email Address
Business Information (If applicable--For Package Branding and 1099 Tax forms)
Company Name
The information I am providing is for EarCandles.net use only, and will not be
distributed to any third parties. I understand that by submitting this application I will
become an independent distributor only, and am not an employee of EarCandles.net.
I will purchase ear candles from EarCandles.net for personal and/or professional use,
and/or for resale. I agree to hold EarCandles.net, EarCandleLady.com, 6K Adventures,
LLC and all other manufacturers, distributors and owners now and in the future,
harmless from liability in my performance as an independent contractor, practitioner, or
consumer of ear candles manufactured by EarCandles.net and it's affiliates. By
submitting this application, I affirm that I am experienced and educated in the practices
of ear candling and take sole responsibility for my actions.
EarCandles.net
304 Market St
Gallatin, MO
(682) 559-8170
Referring Distributor: EarCandles.net
Practitioner / Distributor Information
Social Sec. # (we will contact you directly for this information)
Name of Applicant
Mailing Address
City, State, Zip
Phone
Email Address
Business Information (If applicable--For Package Branding and 1099 Tax forms)
Company Name
The information I am providing is for EarCandles.net use only, and will not be
distributed to any third parties. I understand that by submitting this application I will
become an independent distributor only, and am not an employee of EarCandles.net.
I will purchase ear candles from EarCandles.net for personal and/or professional use,
and/or for resale. I agree to hold EarCandles.net, EarCandleLady.com, 6K Adventures,
LLC and all other manufacturers, distributors and owners now and in the future,
harmless from liability in my performance as an independent contractor, practitioner, or
consumer of ear candles manufactured by EarCandles.net and it's affiliates. By
submitting this application, I affirm that I am experienced and educated in the practices
of ear candling and take sole responsibility for my actions.
EarCandles.net
304 Market St
Gallatin, MO
(682) 559-8170
| Why do I have to fill out this form? We expect, that if you are interested in bulk or wholesale prices, you already ear candle on a frequent basis and therefore are knowledgeable about the practice. Our bulk and wholesale ear candle packages do not contain ear candling instructions because, it is assumed, you already know how, and by submitting this form you are documenting that fact. If you are unwilling to take responsibility to follow or read instructions, then you need to purchase the specially packaged retail products on our distributor's pages which contain instructions and specific waivers of liability. We appreciate your cooperation in keeping the ear candle burning in the U.S.A.! |
| Please Note:You only need to register once |