WHOLESALE APPLICATION

Salon Name: *

First Name: *

Address:

City:

Phone:*

Your Email *

Last Name: *

Suite:

State:

Zip:

Fax:

Website *

TYPE OF ORGANIZATION (please choose the category that best describes your business) *
SalonHair StylistIndividual salesBeauty SupplyOther

Specify: *

Are you an Existing Wholesale vendor of HLHDS?*
YesNo

Company Description