First Name

Last Name

Email *

Phone

Password

Confirm password

Street Address *

Address Line 2

City

Country

State / Province / Region

ZIP / Postal Code

Shipping Address

We currently DO NOT ship to Canada. Your promo code will only work for United States clients/followers.

Address Line 2

City

Country

State / Province / Region

ZIP / Postal Code

Company Name

Website

Cosmetology License # *

Please Upload A Copy of Your Cosmetology License *

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Supported format: JPG, JPEG, PNG, GIF, SVG.

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Instagram

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Notes

Create a Personalized Promo Code *

This is the promo code you will market to your clients. All promo codes must be unique. If the code you request is already in use, we will reach out to you to select a new one. Promo code request cannot match an existing Celeb Promotion. (Ex: SALONFRESH20.)

Request For Tax Exemption

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I agree Terms and Conditions *

Attach Tax Exemption in box

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