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Salon and Stylist Price List Request

Please complete the form below to request access to our special Order Form that offers discounts on Affirm, KeraCare, Straight Request, Bronner Bros Professional and Hair Hero Elite products

NOTE: You must be a licensed Cosmetologist to request access.

Upon receipt of your submission, we will verify your information accordingly and if approved, you will receive an email with the web address and password.

Name:
Email Address:
Phone:
Address:
City:
State:
Zip:
Cosmetologist License Number:
Issuing State:
Comments or Questions:
 


 

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