BEAUTY PRO’S REWARDS MEMBERSHIP APPLICATION

APPLICANT INFORMATION

Name:

Date of birth:

Mobile:

Phone:

Current address:

City:

State:

ZIP Code:

SERVICE INFORMATION

Which Services Do You Purchase The Most?     Women’s Cuts     Men’s Cuts      Kid’s Cuts      Chemical Services      Waxing                 (CIRCLE ALL THAT APPLIES)

  Other Services  _____________________________________________________________________________

Is your Hair Normally?   Dry      Oily      Frizzy                Hair Texture?              Curly   Straight     Wavey

  Hair Density?     Fine     Medium    Thick     Thin      Corse

Natural Hair Color?

Is your hair colored?    

How often do you get haircuts?

Do you purchase waxing services?

How often do you shampoo?

PRODUCT INFORMATION

What Products do you currently use?     Shampoo     Conditioner      Leave-In Conditioner     Heat Protectant     Mousse     Serums      Hairspray    Gels     Volumizers    Others

What Brand do you use?

Allergies?

Is your current products working for you?

Have you ever used Henna?

What styling tools do you use?    Blow Dryer    Curling Iron     Flat Iron      Rollers     Others

PRIMARY USER

Name:

Date of birth:

Email:

Phone:

SECONDARY USER & FAMILY MEMBERS ON THE ACCOUNT

Name:                                                                                         Relationship To Primary User:                                                               Date of Birth:

Email:                                                                                

Phone:

Child#1

Child#2

Child#3

Child#4

Child#5

Child#6

Other

Other

Other

MEMBERSHIP TYPE

VIP REWARDS PROGRAM

PRIORITY REWARDS PROGRAM

BEAUTY EXPERT REWARDS PROGRAM

ANNUAL FEE

ANNUAL FEE

ANNUAL FEE

$0.00

$85.00

$0.00

Signatures

I agree to the terms and conditions set forth by Beauty Pro's Depot LTD CO. and the rewards program.

Signature of applicant:

Date:

Signature of spouse (only if for a joint membership):

Date: