BASiC MEMBERSHIP APPLICATION FORM




** Must be a licensed cosmetologist/barber to become a member. Some "vetting" of applicants will take place.


If you already have an account with us, please login HERE


YOUR PERSONAL DETAILS

** Your first name and last name should contain only alphanumeric characters

This is how you get paid! Enter your PayPal email address here and we will use this PayPal account to pay you when one of your clients purchases BASiC products from you. If you do not have a PayPal account, YOU WILL NEED TO CREATE ONE HERE

(Enter 'NONE' if you do not currently work with a distributor)
YOUR LICENSE INFORMATION

If your state requires you to have a cosmetology license, please use that as your supporting information. If your state requires you to have a natural hair care certification, please use that as your supporting documentation. Otherwise, you may enter enter your federal or state tax information.

* Cosmetology license number, natural hair care certification number, federal EIN, state sales tax number or state resale number
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* Cosmetology license, natural hair care certificate, business license, or state sales tax form
YOUR SALON INFORMATION


YOUR LOGIN INFORMATION

Minimum 8 Characters
Minimum 8 Characters

* = required field



Once you are approved, you will be automatically signed up for our FREE membership. After your first login, you will be able to select an upgraded membership.


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