Distributorship Application Form
    • *All information marked with * MUST be submitted to process this Form.

    • *Filling this form does not constitute an agreement. All application is subject to review.


    Personal Information:

  1. First Name(*)
    Please type your full name.
  2. Last Name(*)
    Please type your last name.
  3. Date of Birth(*)
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  4. Home Address (*)
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  5. Country Of Residence (*)
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  6. State(*)
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  7. City(*)
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  8. Postal Code(*)
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  9. Home Phone(*)
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  10. Business Information

  11. Business Name(*)
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  12. Your Title(*)
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  13. Business Tax ID NO(*)
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  14. What type of business is this ?(*)
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  15. Years in Business(*)
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  16. How much liquid Capital(US Dollar) is available for investment?(*)
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  17. How long have you been distributing hair products?(*)
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  18. Are you currently distributing any Hair Extension Brand?(*)
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  19. Please list at least one but not more than three hair extension brands you distribute.
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  20. Business Address(*)
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  21. Country
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  22. State(*)
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  23. City
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  24. Business Phone No(*)
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  25. Business Phone Fax
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  26. Email Address(*)
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  27. Website
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  28. Classification(*)
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  29. References:*

    • Please list at least 2 vendors you have worked with
    • Vendors do not need to be from the same line of business
  30. 1 Company's Name:
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  31. Contact Person:
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  32. Companys Phone No
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  33. 2 Company's Name
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  34. Company's Phone No
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  35. Contact Person:
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  36. How did you hear about ONYC Nigeria?(*)
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  37. Comments
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  38. Please use below to upload a copy of your business license/permit and driver's license
  39. Browse 1(*)
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  40. Browse 2(*)
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  41. Captcha(*)
    Captcha
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  42.