Stockist Registration Form

If you are an existing stockists of Supercover and wish to be listed
as a stockist then please complete the form below.

Salon Name
 Contact Name
Trade Account Number
Address (Line 1)
Address (Line 2)
Town
County
 Post Code
Telephone
E-mail
Web Site


Business Type:



Please select all services that you offer:-

Facials   Waxing   Body Treatments   Tanning   Product Retailing   Make-up (Make-overs)

Make-up (Bridal)   Training Centre


Opening Times
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY


Any other information you may wish to provide:



Please enter the following code into the box provided: