I have read and agree to your terms and conditions of sale. I confirm that by submitting this form I am electronically signing this agreement on behalf of the company stated above.
I agree to any credit searches and references to be made with the details I have provided above. I understand that my application may be rejected if I do not provide the full information or make a false declaration. I agree that Laval Cosmetics can use this information in order to provide me with goods, services and communication.