Account Application

If you haven't previously shopped with us please complete this new account application form.

Salon Professional Information

Salon / School Name
First Name
Last Name

License / Student ID
License State
License Expiration

Type

Business License
Professional License

Contact Information

Email Address
Phone
Mobile Phone (optional)
Please provide the best number you can be reached at during normal business hours Monday - Friday.

Account Information

Tax Location (County/Municipality
Resale Tax Number (Optional)
Resale Certificate

Billing Information

Please enter the billing address associated with your credit card.

Address
City
Postal Code

Shipping Information Same as Billing Address

Address
City
Postal Code

We are committed to fighting the unauthorized sale of professional product at non-salon retailers.

Please provide your consent to abide by our diversion policy.

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