THIS OFFER IS FOR FIRST TIME SALONS ONLY.

For any questions call 1-866-355-2569
This offer is only valid in the United States of America.

SALON INFORMATION

e-mail address: Current valid email address is required. *
web address for salon:  
phone:  
salon name:  
tax ID#: (for store confirmation)  
salon address:  
city:  
state/zip code:   /

BUYERS INFORMATION

buyers name: *
who else has authorization to purchase?: *
how many locations: *
on average, how many lotion bottles sold daily?: *
number of tan packages sold during peak season?: *
main distributor you buy from: *
are you under contract: * Yes No
if under contract, what % of other lotions are you able to purchase?: *
what's your best selling brand of lotion?: *
what's your best selling single lotion?: *
credit card number: (CCrd is for shipping and handling $20.75) *
exp date / 3 digit code: * /
Credit Card Billing Address, if different from salon address.
other address:  
city:  
state / zip code:   /
comments: