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Wholesale Account Request

Please complete the form below to request access to our Wholesale Order Form.

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 to allow you to order certain product lines at reduced prices.

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


 

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