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Business Name
*
Business Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Owner Name
*
First
Last
Owner Phone
*
Business Phone
*
Business Emergency Phone
*
Business Email
*
Distributor
*
Distributor Sales Consultant
*
Distributor Sales Consultant Phone
*
Distributor Sales Consultant Email
*
# of Licensed Pros/Students
*
Preferred Educator
*
Preferred Date #1
*
MM slash DD slash YYYY
Preferred Date #2
*
MM slash DD slash YYYY
Preferred Date #3
*
MM slash DD slash YYYY
Average Quarterly Mirabella Wholesale Purchases
*
Mirabella Wholesale Purchases Year to Date
*
How many stylists work at your facility?
*
How many estheticians?
*
How many makeup artists?
*
How many other staff members?
*
Will everyone be attending or taking part in the requested class or event?
*
Yes
No
If not, how many attendees are expected?
*
What is the cosmetics background and skill level of the staff members attending the class or helping with the event?
*
In general, what day of the week work best for you and your staff?
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
In general, what time of day work best for you and your staff?
*
:
Hours
Minutes
AM
PM
AM/PM
Select the reason for your Education Request:
*
Educational class for staff
Assistance with in-salon/spa event for clientele
Both
If hosting a class, what would you like the Educator to focus on primarily? (for example: product knowledge, application how-to’s, company and brand background/changes, advanced application for specific features, importance of and how to perform Mirabella Minutes, etc)
If hosting a class, what specific expectations do you have for this class?
What do you hope attendees take away?
If hosting an event, what do you hope to achieve? (to work through old inventory, to introduce clients to the brand for the first time, to introduce clients to a new product, an open house featuring makeup promos, to try to gain new clientele, too boost sales in general, etc)
Notes
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