Existing Client Registration

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Existing Client Registration

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Esthetics Plus is a wholesale distributor supplying industry professionals. If you are an existing Esthetics Plus client wishing to create an online account, please complete and submit this form. 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
Shipping Address (if different from billing)

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