Hair & Compounds
Tel:
818-997-8810
Fax:
818-997-8860
E mail:
hair@haircompounds.com
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New Registration Form
*
What type of account ?
Stylist (Submit copy of cosmetology license)
Salon (Submit copy of business license)
Hair Trade Business (Submit copy of business license)
To complete registration you must fax or email a copy of your license after submitting this form.
If we do not receive a license copy within 48 hours registration will be cancelled.
Fax: 818-997-8860 Email:
orders@haircompounds.com
*
Name
Company(if applicable)
*
Primary Tel
Mobile
*
Billing Address
Name
Address 1
Address 2
City
State
Zip
Country
Shipping Address (if different)
Name
Address 1
Address 2
City
State
Zip
Country
*
How did you find us ?
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We contacted you
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Online Account
Please enter your email address and a password for account access. You will receive an email confirmation
when your account is ready.
*
Email
*
Password
Catalog / Sample Request
For Fusion
For Microlink
For Bulk/Weft
Poly Premium Extensions
Cylinder Premium Extensions
Custom European Hair
Poly Layered Extensions
Cylinder Layered Extensions
Poly Russian Extensions
Cylinder Russian Extensions
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