New Customer Registration Form

NEW SALON ACCOUNT REGISTRATION

WELCOME TO COOL BEAUTY
Salon Account Information
Contact Person*
Cosmetology License #*
Full Business Name/Salon Name*
Salon Street Address (Ship-To 0)*
Salon Street Address line 2
City*
Zip Code*
State*
E-mail address*
Instagram handle
Contact Mobile #
Salon Phone #*
Cool Beauty Sales Consultant

Additional Shipping Address (Ship-To 1)
Shipping Address

Same as Salon Address
Contact person
Shipping Business Name
Shipping Street Address
Shipping Street Address line 2
City
State
Zip Code
Which Of Our Brands Are You Interested In?*
Anything Special We Need to Know?
TAX ID # (KY ONLY)
Are you a LICENSED COSMETOLOGIST*

YESNO
Ready to Submit?*

YESNO
Should be Empty: