Customer Registration Please fill out the form below for to apply for an account request. Once we validate your cosmetology license and state, you will receive an email with your login information. Please allow 1-2 business days for your account to be created. Step 1 of 5 - Professional Type 0% Professional Type*Please check all that apply. Owner Independent Stylist Commission Stylist Cosmetology Student Students must place orders through one of our store locations or by calling customer service at 417-889-5533 . Additional perks await! Name* First Last Cosmetology License Number*License Expiration Date* Date Format: MM slash DD slash YYYY License Issue StatePlease select your license issuing state. ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYLicense Type*Please select all that apply. Cosmetologist Nail Technician Barber Esthetician Massage Therapist Home Address* Street Address Address Line 2 Home Address City*Home Address StatePlease select your state. Choose your stateALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYHome Address Zip Code*Home Address County* Salon Name*Salon Address* Street Address Address Line 2 Salon Address City*Salon Address StatePlease select your state. Please select your stateALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYSalon Address Zip Code*Salon Address County*Phone Number* Mobile Phone*Please note, mobile phone number is required for receiving our text messages. RECEIVE OUR TEXT MESSAGES**Message and data rates may apply. By acknowledging or signing the agreement, you are authorizing Salon Service Group to send marketing messages to your phone number. Consent to these terms is not a condition of purchase. Yes, I would like to receive exclusive information and offers via text message.No thank you* I have read and agree to the Terms & Conditions. Email* Sign Up for Emails YES, I consent to receiving periodic email alerts and promotions.