Personal Information

First Name (required)

Last Name (required)

Mailing Address Line 1(required)

Mailing Address Line 2

Zip Code

City

State

Phone Number

Your Email (required)

Salon Name

Salon Address Line 1(required)

Salon Address Line 2

Zip Code

City

State

Cosmetology License Number

Issuing State

Additional Information

Please provide links to your applicable social media platforms below

Facebook

Instagram

Youtube

Pinterest

Twitter

How long have you been a stylist?

Do you currently or have you previously represented other hair care brands, if so tell us which one/s?

In 100 words or less sum up your passion for hair and tell us why you would be a great fit for Trueplex!

Please upload images of your work here (At least one).

Image 1
Image 2
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