NouriTress New Salon Re-sellers Form

New Salon Re-Seller Partnership Application

For Licensed Beauty Pros ONLY - Must upload license to complete application
Full Name *

First Name Last Name
E-mail *
Cell Phone Number *

Area Code Phone Number
Are you a Salon Owner? *
Salon Name
Salon Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
This application is for Licensed Cosmetologists ONLY! Please upload a current copy of your cosmetology license. Once your information is received, you will be emailed a digital copy of our Salon Products Brochure and Wholesale Price List. You must call to place your first order.
Upload A Copy of Your Current Cosmetology License *

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New Salon Re-Seller Partnership Application