Account Application

If you haven't previously shopped with us please complete this new account application form.

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Salon Professional Information

• Salon Name
• First Name
• Last Name
License / Student ID
License State (State/Province) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
License Exp Date
Type Stylist Booth Renter Salon Chain

• Email Address
• Phone

• Please provide the best number you can be reached at during normal business hours Monday - Friday.

Account Information

• Username: minimum 8 characters
• Password

• Please select a username and password. Your password must be at least 8 characters with 1 upper and lowercase letter and 1 number.

• Please contact Customer Service for any questions related to Diversion Contracts or Forms. (847) 480-0000

  Available Diversion Contracts

  äz Haircare - Contact your Account Executive

  Brazilian Blowout Free

  Eleven

  Kevin Murphy

  Living Proof

  Loma

  Milbon

  Milbon Gold

  Moroccanoil

  Moroccanoil Body

  Forms:

  Sales tax will be charged on all orders until a completed and signed resale certificate is received.

  IL tax certificate

  IN tax certificate

  MI tax certificate

  OH tax certificate
  VA tax certificate

  
  

We are committed to fighting the unauthorized sale of professional product at non-salon retailers.

Please provide your consent to abide by our diversion policy.

I Agree  Click to view Diversion Policy

Owners/Partners/Officers

By clicking the REGISTER button below, the Signer has read and agrees to pay for all items delivered to, or at the request of, the signer, in accordance with Premier Beauty's terms, either by credit card, e-check or COD. Signer agrees to pay for all freight charges incurred for any orders refused through no fault of Premier. You will be charged a minimum $25 fee for any dishonored check returned. All shipments will be held until payment is received as agreed within terms, inclusive of fee. Signer agrees to adhere to Premier’s return policy. Terms are subject to change.

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Contact Customer Services at (847) 480-0000 to create an account outside of IL, IN, MI, OH. Restrictions may apply.