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    Personal Information
  • Step 1

    We'd Like to know more about you.
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  • Step 2.

    We'd Like to know more about you.
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  • Step 3

    Business Information
  • Review your details before submitting. Make any necessary edits, then click submit when you're ready.

     

    PERSONAL INFORMATION

    Name: {name18}

    Email: {email19}

    Phone Number: {phoneNumber20}

    Birthday: {birthday}

    Zip Number: {address21}

    -----------------------------------------------

     Business Information

    Employee Type: {wedLike}

    License Number: {licenseNumber}

    Expiration Date: {typeA}

    Salon Name: {salonName}

    Business License: {businessLicense}

    Number of years in business: {numberOf}

    Business Address: {address35} 

    Business Phone: {businessPhone}

    -----------------------------------------------

    Please provide an image of your professional License or business card / identification

    {pleaseProvide}


    -----------------------------------------------

     

     

     

     

  • Review your details before submitting. Make any necessary edits, then click submit when you're ready.

     

    Name: {name}

    Email: {email}

    Phone Number: {phoneNumber} 

    Address: {shippingAddress}

     

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