YESHUA Skin Cosmetics Sales Rep Form

Launch your beauty business today for just $250 (Winter Special).

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Your Business Persona

Let’s customize your digital storefront! This is how your name will appear on the website I design for you.

Please provide your preferred website name. This will be your URL (YourName.YeshuaSkin.com) Note: If you don't have a name in mind, we can help you brainstorm!

Preferred Display Name: (e.g., "Jane Doe" or "Skincare by Jane").

Social Media Handle (Optional): (Instagram/Facebook - helps us tag you!)

Why are you excited to join YESHUA Skin? (Short answer - helps me support your goals!)

If you have an existing online presence, please provide the link below. This helps us understand your style and audience.

Website/Social Media Link (If Applicable)

What kind of style are you looking for? What kind of audience are you trying to reach? Explain below.

Tell Us About Your Vision (Briefly)

Please select the types of beauty products you are most interested in promoting. Make your selections below. Please keep in mind that your website will include these products (less is more).

Beauty Product Interests:

Skincare (e.g., cleansers, serums, moisturizers)

Makeup (e.g., foundation, lipstick, eyeshadow)

Hair Care (e.g., shampoos, conditioners, styling products)

Body Care (e.g., lotions, scrubs, bath products)

How Did You Hear About This Offer?

Social media

Website

Referral

Other

Setup & Agreement

Please confirm you understand the startup process.

I understand that the $250 Setup Investment covers my personalized website design and business account setup.

I understand that product inventory is purchased separately using my 30% Rep Discount.

I am at least 18 years of age.

I have read, understood and agree to the Privacy Policy and Terms of Service

Setup Fee

$250