Clearance Sale 2022

Account Application

If you haven't previously shopped with us please complete this new account application form.

Salon Professional Information

  • Salon Name
  • First Name
  • Last Name
  • License / Student ID
  • License State
  • License Expiration
  • Type Code
  • Class Code
  • Brands interested in:

Contact Information

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

Account Information

  • Account Executive (Optional)
  • Resale Tax Number (Optional) - Complete Form
  • Please contact Customer Service for any questions related to Diversion Contracts or Forms. (715) 426-0620

    Available Diversion Contracts

    Davines - a single
    Davines - Activation Source
    Davines - Alchemic
    Davines - Authentic
    Davines - Balance
    Davines - Essential Haircare
    Davines - Flamboyage
    Davines - Heart of Glass
    Davines - Imprinter
    Davines - Intros & Kits
    Davines - Liquid Spell
    Davines - Mask
    Davines - Merchandising Pieces
    Davines - More Inside
    Davines - NaturalTech
    Davines - OI
    Davines - Pasta & Love
    Davines - SU
    Davines - Sundries
    Davines - Texture
    Davines - The Circle Chronicles
    Davines - Your Hair Assistant

Contact Information

  • First Name
  • Last Name
  • Job Title

Billing Information

  • Address
  • City
  • Postal Code

Shipping Information

  • Address
  • City
  • 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.

Click to view Diversion Policy

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*Thank you for submitting your information.  A representative will be in contact with you shortly to complete your application.