Kamelia Cosmetics Reseller Application Form

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Fill this form for a chance to be chosen as our reseller!

What you will get:
♡ 30% profit from each item sold
♡ Free Marketing Materials
♡ Weekly coaching session
♡ Support group provided

We're committed to helping you grow with us!

Please note there is an MOQ of RM250.00 restock value within every month.

If selected, we'll contact you within 1-3 working days to complete your registration.

1) Your Full Name (as per NRIC) *

2) Your NRIC number (without the "-")
*

3) Your mobile phone number (without the "-")

4) Your e-mail address
*

5) Your permanent home address
*

6) Postcode
*

7) State
*

WP Kuala Lumpur

WP Labuan

WP Putrajaya

Johor

Kedah

Kelantan

Malacca

Negeri Sembilan

Pahang

Perak

Perlis

Sabah

Sarawak

Selangor

Terengganu

Singapore

Brunei

8) Do you have previous experience running your own business?
*

Yes, I do.

No, I do not.

9) If you answered yes to the above, how many years of experience do you have?
*

1-2 years

3-4 years

5 years and above

10) What is your current average monthly sales?
*

11) Your Twitter username:
*

12) Your Instagram username:
*

13) Your Tiktok username:
*

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