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COSMETOLOGIST REGISTRATION FORM

If you wish to enjoy the benefits we offer to cosmetologists, please fill up this form:

Account Information

Professional Information

Business Information

Complete this part of the form if you are working for a salon.

Salon Address

Cosmetologist Licence Image

Upload a copy (picture or scan) of your Cosmetologist Licence or email it to sales@mariarihair.com

Notes or comments that you want to add