Pro client registration - Capilex Beaute

You are:

Hair salon owner

Hairdressing student

Hair salon tenant

Hairdresser at home

Owner in aesthetic institute

Beautician at home

Esthetician student

First Name*

Last Name*

Email*

Address*

City*

Code Postal*

Cell Phone Number*

Date of Birth*

Company Detail*

Company Name*

Billing Email*

Address*

City*

Province*

Code Postal*

Salon phone number*

How did you hear about us?*

Desired method of payment:

Credit card

Cash

Charge to account - 30 days

Diploma: Please attach a photo of your diploma in hairdressing/esthetics/barber or any other document justifying your professional status (for students, a certificate of school attendance is required):

Click or drag a file to this area to upload.

Attach another attachment:

Click or drag a file to this area to upload.