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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
  • Salon / School Address
  • City
  • Postal Code
  • License / Student ID
  • License State
  • License Expiration
  • Type Code
  • Class Code
  • Brands interested in
  • 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

  • Account Executive (Optional)
  • Resale Tax Number (Optional) - Complete Form
  • Resale Certificate

Who Referred You?

  • Giveaway Entry
    Online Search
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    At School
        
Referral
    
Industry Event
Other
    

Billing Information

  • Address
  • City
  • Postal Code

Shipping Information

  • 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.

Click to view Diversion Policy

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