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Account Application

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

Salon Professional Information

  • Salon Name
  • First Name
  • Last Name
  • License / Student ID
  • License State
  • License Expiration
  • Type Code
  • Class Code
  • Brands interested in:
  • Your Main Color Brand
  • Your Main Retail Brand
  • How did you find us?
  • Potential Yearly Purchase

Account Information

  • Business Development Manager
  • Resale Tax Number (Optional)

Contact Information

  • First Name
  • Last Name
  • Job Title
  • Email Address
  • Phone

  • Please provide the best number you can be reached at during normal business hours Monday - Friday.

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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*Thank you for submitting your information.  A representative will be in contact with you shortly to complete your application.