New Client Registration

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Esthetics Plus is a wholesale distributor supplying industry professionals. If you are a new Esthetics Plus client wishing to create an online account, please complete and submit this form. You will be required to attached industry certification during this registration. If you are an owner or manager and not certified, please specify and include your business licence. Please note that it may take up to 48 hours to approve your account.
Company*
First Name*
Last Name*
Email address*
Address*
Apt, unit, bldg, fl ...
City*
Country*
Prov/State*
ZIP/Postal Code*
Phone Number*
Username*
Password*	Very Weak
Confirm password*
	Esthetician
	Hairstylist
	Laser Technician
	Lash Extensionist
	Manicurist
	Massage Therapist/ RMT/ Body Treatment Therapist
	Medical Esthetician
	Nail Technician
	Non-industry/ Business Owner- spa/ clinic
	Novalash Extensionist
	Nurse
	Pedicurist/ Advanced Pedicurist
	Physician
	Skincare Therapist (facials certification)
	Waxing Technician
Certificates Please attach your industry certification. If you are an owner or manager and not certified, please attach your business licence.
File 01
File 02
File 03
File 04
Shipping Address (if different from billing address)
Please let us know what product lines you are interested in carrying/purchasing for your business. Please select all that apply.
Product Lines
	IMAGE Skincare
	Bio Therapeutics
	Sunescape
	Other
Having issues submitting this form? Please remove any file attachments and send them to info@epbeauty.ca.

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