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Your First Name:
Salon Name:
Mailing Address:
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Is the above address for your home or salon?	Home Salon
Professional License #:
Expiration Date:	Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027
E-mail Address:
Type of Professional License:	Cosmetologist Salon Owner Cosmetology Student Barber Nail Technician Esthetician Beauty School Instructor Government Agency Employee
Are you, or your salon, currently being called on by one of our Sales Consultants?	Yes No
You must review and accept our Diversion Policy to register. Diversion Policy CosmoProf® is committed to a salon-only policy of sales and distribution.  Our commitment is a promise that we will make every effort to maintain the professional product integrity that you demand.  CosmoProf® WILL NOT knowingly place our salons in jeopardy from the unauthorized sale of professional only products. We participate in the Beauty Industry Fund for Consumer Protection to combat diversion on an industry-wide level. For more information on diversion click here.  If a collector contacts you, send an e-mail to diversion@beautysystemsgroup.com or call 1-866-442-0712 to report it.  Be sure to provide the collector's name, telephone number and any other information that you may be able to legally provide. Accept      Do not accept Password provided by your local CosmoProf® store or go to Contact Us and email your PROCLUB™ card number. The password will be sent as a reply.