Account Application

New here? Fill out the account application to get started! Missing some info? No worries - send it through anyway, and we'll figure it out together. Your account will be approved within 2 hours during our regular business hours Monday to Friday, 9:00 AM - 5:00 PM.

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Salon Professional Information

• Salon / School Name
• First Name
• Last Name

• License / Student ID
• License State (State/Province) Connecticut Maine Massachusetts New Hampshire New York Rhode Island Vermont
• License Expiration Date

• Type (Select) Booth Renter Employee Owner Student

• Business License
• Professional License

Contact Information

• Email Address
• Phone
  Mobile Phone (optional)

• Please provide the best number you can be reached at during normal business hours Monday - Friday.

Account Information

• Tax Location (County/Municipality)
• Resale Tax Number (Optional)
• Resale Certificate

• Do you have a Sullivan Beauty Consultant/Rep?

  Yes

  No

• If Yes, please enter their name

Billing Information

Please enter the billing address associated with your credit card.

• Address
• City (State/Province) Connecticut Maine Massachusetts New Hampshire New York Rhode Island Vermont
• Postal Code

Shipping Information

• Address
• City (State/Province) Connecticut Maine Massachusetts New Hampshire New York Rhode Island Vermont
• Postal Code

We are committed to fighting the unauthorized sale of professional product at non-salon retailers.

Please provide your consent to abide by our diversion policy.

 I Agree   Click to view Diversion Policy

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