Anna Lotan Skin Care Partner Program

Providing the best level of care possible for your clients

If you are a Licensed Skin Care Professional or Business Owner and wish to become an Anna Lotan Skin Care Partner, please complete and submit the following requested information.

Please note that you will be required to submit a copy of your Professional or Business license in order to verify your Professional status. If, for any reason, you are unable to do so you should Contact Us and we can arrange an alternative process.

Although this site is primarily designed for US Skin Care Professionals, we also extend an invitation to skin care professionals from certain other countries where we do not currently have a formal distribution network including, but not limited to: Cyprus, Denmark, France, Portugal, South Africa, Spain, Switzerland, United Kingdom - you are welcome to apply for international membership in the Anna Lotan Skin Care Partner Program.

(Canadian Skin Care Professionals should always contact our Canadian distributor in Toronto - EDVA Spa Products Tel: 416-789-5878 or info@edvaspaproducts.com).

Personal information
Title:
First name:*
Last name:*
Business information
Your Business Name:*
Business License#
(Enter N/A if you are an independent esthetician):*
Addr1:*
Addr2:
City:*
State / Province: PostCode:*
Country:
Shipping Address
Same as address
Addr1:*
Addr2:*
City:*
State / Province: PostCode:*
Country:
Contact information
Phone:*
Fax:*
Email:*
Web site:
Additional Information
Are you an Aesthetician?:* YesNo
Professional License #:*
Please provide a copy of your Professional Licence or Qualifications:*
What is your position?:*
What type of facility do you work at?:*
Number of Staff at your Facility:*
Do you have Purchasing Authority?:* YesNo
Will you consider a change to Anna Lotan Skin Care?:* YesNo
How did you hear about us?:*
Please enter text from image below.
Verification *

Type the code from the image
The letters are not case-sensitive. Please do not type spaces
between the numbers and letters

Submit

Anna Lotan Skin Care Partner Program

Providing the best level of care possible for your clients

Personal information

Business information

Shipping Address

Contact information

Additional Information