Account Application

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

Salon Professional Information

Salon / School Name
First Name
Last Name

Salon / School Address
City
Postal Code

License / Student ID
License State
License Expiration

Type Code
Class Code
Brands interested in

Professional License

Contact Information

Email Address
Phone
Mobile Phone (optional)
Please provide the best number you can be reached at during normal business hours Monday - Friday.

Account Information

Account Executive (Optional)
Resale Tax Number (Optional) - Complete Form
Resale Certificate

Who Referred You?

Giveaway Entry

Online Search

Social Media

At School

Referral

Industry Event

Other

Billing Information

Address
City
Postal Code

Shipping Information Same as Billing Address

Due to manufacturer territory restrictions we are unable to ship to states not listed.

Address
City
Postal Code

We are committed to fighting the unauthorized sale of professional product at non-salon retailers.

Would you like to receive text messages and email from Salon Services PRO regarding invoice copies, shipping notices and new products and/or promotions?

Yes

Please select what type of text messages and email you would like to recieve:

Invoices Shipment Notices Marketing / New Products & Promotions

By selecting yes, I agree to receive text messages to a mobile phone number provided above from Salon Services PRO regarding invoice copies, shipping notices, and new products and/or promotions, up to 5 messages per week. Messages and data rates may apply. Text HELP for help and text STOP to cancel.

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