Business Owner Application Form

Please note, this section is applicable to Business Addresses only.

For all other registration please click Register/Login which is also located top right corner of this page, otherwise please complete the below Business Owner application form.

If you are a new Wholesaler, Owner of Salon/Clinic and/or Training College and would like to benefit from discount prices, we ask you to provide the following information.

Our team will carefully assess your application and hope that you will be eligible for a private log-in to our online shop.

We will notify you of the outcome. In the meantime, if you would like further information, please feel free to contact our friendly team on (03) 9460 7004.

Thank you again for your interest in Reva International quality products.

    Your Name (Required)

    Your Phone Number (Required)

    Your Email (Required)

    Your Business Name (Required)

    Your ABN (Required)

    Your Business Address (Required)

    Your website (If applicable)

    Please identify your relevant category (Required)

    WholesalerOwner of a Salon/ClinicTraining CollegeOther

    Additional details about your business that you feel is important for us to know.(The information is used to determine which discount category you will be eligible for - Thank you)