Virtual Class Request Form
FOR ALL CURL KIND
Todays Date
*
-
Month
-
Day
Year
Date
Submitted By
*
AM
DSC
FSM
Salon Owner
Salon Receptionist
Salon Stylist
TDM
Submitted By Name
*
Salon Name
*
Account Number
*
Salon Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Salon Contact
*
First Name
Last Name
Salon Phone
*
-
Area Code
Phone Number
Salon E-mail
*
Distributor
*
Armstrong McCall
Bleu Libellule
Chalut
CosmoProf Canada
CosmoProf US
Goldwell New York
ManocoBlue
Paramount
Spectrum
TruBeauty
Venus Beauty Supply
DSC/FSM
*
First Name
Last Name
DSC/FSM E-mail
*
example@example.com
DSC/FSM Phone
*
-
Area Code
Phone Number
Existing Deva Acct?
*
Yes
No
If Yes, How Long?
*
Do not carry
Less than a year
1-5 Years
5-10 Years
10+ Years
Intro Purchased
*
None
Small
Medium
Large
Date of Purchase
*
Reason for request
*
Please add any additional comments or salon details
Have you/your salon taken Devacurl Education before?
*
Please explain what class(es)?
Virtual Class Requested
*
For All Curl Kind: Product Knowledge
Comments
Please add any additional comments or salon details
Submit
Should be Empty: