Salon Account Application

This application is provided SOLEY for US health/beauty related companies who are interested in carrying the Signature Minerals Brand in their facility.

**Please note** Signature Minerals does NOT offer private label. We will ONLY consider US Health and Beauty related companies. Brick and morter only; Internet based companies will NOT be considered. US only; We are not accepting International requests at this time.

If you cannot fill out all required fields on this application - PLEASE do not request wholesale information from us. We cannot/will not provide ANY wholesale information without the required information. Sorry, but there are NO exceptions.

*First Name:
*Last Name:
*Business Name:
*Business Type: Day Spa Salon Boutique
Dermatologist Office Plastic Surgeon Office
Other (enter below)
    If you chose "Other":
    enter business type here.
*Your Position:
*Email:
*Business Telephone:
(include area code)
Alternate Telephone:
(include area code)
Facimile:
Website Address (include complete http address):
*Business Address (street):
Address 2:
*City:
*State:
*Zip Code:
*Federal Tax ID:
*State Sales Tax #:
*Do you currently offer cosmetics in your faciltiy?: Yes. No.
*Message:
Describe your business, your experience, your intentions, and how and why you feel SM can fit in....don't hold back!
Please enter the letters shown below and click "Submit". If you can't read the letters, click on them to refresh.
* - Required Fields

All information provided in this application will be reviewed and verified. With this in mind, please allow up to 10 business days to receive a response.

Also note: We may request more information before making a decision.

If your application is accepted you will be sent our Terms of Agreement. If the terms are accepted, we will go from there in a quick fashion.

Privacy: Signature Minerals respects your privacy. Your email address and personal information is used only to fill your request - We never send unwanted email and never share your information with any outside party.

Thank You!

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