New Account Registration Form

To set up a new account for both online and offline ordering you will need to fill out this form and send to us with a copy of
your cosmetologist license or business license.

Your Name:

Date:

Business Name:

Will account be under personal name or business name?

Personal

Business

Tel:

Other Tel:

Fax:

Email:

Shipping Address:

CA Businesses: In order to be exempt from CA sales tax you will need to send us a completed resale certificate form.
Please check the box if you would like us to email or fax you a copy of form.

Yes, send me the form.

Sample Request: Let us know if you would like us to mail you a catalog and any samples.
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