THIS FORM IS FOR ESTHETICIANS ONLY.

The purpose of the registration process is to verify you are a licensed esthetician with an active practice. If you submit an expired license your account will not be approved. If you allow your license to expire, your account will be closed. Proceeding with the completion of this form indicates your acceptance of our privacy policy and you affirm you will not share the confidential pricing in any format or manner. You also agree not to retail any product sold here on eBay or Amazon or any discount website OR list it on your own website below current retail pricing. Violation of these policies will result in immediate suspension of your account. Read the entire privacy agreement here: Privacy policy.

User Registration
Only lower case letters (a-z) and numbers (0-9) are allowed.
Enter Email
Confirm Email
Eight characters minimum One lowercase letter One uppercase letter One number One special character
Enter Password
Confirm Password
Address *
Address
Street Address
Address Line 2
City
State/Province
Zip/Postal
Country
MM/DD
State/Province
Attach your license *
Maximum upload size: 25MB
Mandatory. We cannot process your application without a legible copy of your license. Accepted file formats are jpg, jpeg, jpe, tiff, tif, mpeg, mpg, mpe.

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