Sold Exclusively in the USA to Licensed Estheticians

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Personal Information: (Required) Your personal information will be assigned to your account and used as the default values for shipping and billing upon checkout. However, you'll be able to specify a new shipping and billing address upon checkout, as well as save them separately for future purchases.
Name:
Last Name:
Company Name:
Address:
City:
Country:
United States
State:
Zip Code:
Phone:
Esthetician License Number:
Licence Registration State:
If you are not the owner of this license, please let us know your relation to the license holder. Only business relationships will lead to your account being accepted.
In case you want to make purchases for other states, you must attach the license image that accredits you as a professional esthetician of each respective state.
*Supported formats are: Word, JPEG or PDF and the maximum file size is 10 MB.
Additional Information: (optional) We ask for the following only to help us get to know our customers better. Please provide only if comfortable doing so.
Gender:
Age:
Authentication:
I have read and understood Beauty Image Registration Policy.
Enter 171520 in the box below to validate your registration.
Validation Code:
The validation code it's incorrect
Please fill in all required fields above
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