Pre-Qualification Form

If you are interested in retailing Indochine Natural products, or having us produce OEM/Private Label for your brand, we would like to hear from you.

For us to serve you best, it is important that all sections are completed.

Company Name

Business Registration Number

Contact person

Job title

Website

Business address

Phone

Email

Type of business (proprietorship, partnership, LLC)

Number of years in business

What best describes your business (retailer, online retailer, wholesaler, direct selling, other)

Provide a brief description of your business

Who is your target audience?

Explain how Indochine Natural can assist in achieving your business goals.

Where did you hear about Indochine Natural?

If you are currently retailing online or in a retail outlet, what brands of body care products are you currently stocking?

Is there any further information you would like to share with us?

NOTE: If this form is not working properly, please email directly to this address: sales@indochinenatural.com