Salon Partner Expression Of Interest Form

Fill in the below form if you’re interested in becoming a Salon Partner. Once we have reviewed your request we will be in touch either by email or phone to discuss the outcome, and possible next steps. This process usually takes 2-3 business days.

We are currently closed for the holidays and will reopen on Monday 05, January 2026. Enquiries received during this time will be addressed in the order they are received once we resume operations.

What is the name of your business? *

(legal business name)

Enter your business ABN below *

(11 digit number)

How long has your business been operating for? *

Which brand/s do you currently stock? *

How much does your business spend annually on retail and professional products? *

(wholesale value)

Do you have a website or sell products on other platforms (eBay, Amazon, Social Media, etc.)? *

Enter the website link or name of the platform/s you sell on *

Which social media platforms is your business active on? *

Facebook
Instagram
Tiktok
None of the above
Other

Facebook handle *

Instagram handle *

Tiktok handle *

First name *

Last Name *

Email *

What is your best contact Phone Number? *

Business address *

How soon are you looking to introduce Ultraderm into your salon? *

How did you hear about Ultraderm? *

Thank you for your interest in Ultraderm!

One of our account managers will review your application and get back to you soon!

Thank you for your interest in Ultraderm!

One of our account managers will review your application and get back to you soon!

Serums