Salon Registration

Salon Name

Address

City

State

Zip Code

Are you the salon owner?
YesNo

Number of full or part-time stylists

Resale/Tax Exempt #

License #

License State

License Expiration

First Name

Last Name

Street Address

City

State

Zip Code

Phone

Email

I would like to receive product or educational information from 12 Benefits™.
YesNo

Enter the text to prove you're not a BOT

Salon Registration

Register your salon and receive a free 12 Benefits^™ sample while quantities are available.

Register your salon and receive a free 12 Benefits™ sample while quantities are available.