FOR LICENSED PROFESSIONALS:
Please prepare the following items before filling out this form:
- A valid professional license
- A signed copy of the Le Mieux Cosmetics Sales Agreement Document
- California Resale Certificate Verification Form (if applicable)
Please fax these materials to us upon completing the form at (626) 962-1408.
For students currently enrolled in a licensed beauty or cosmetology school, please have your school's information and your student ID ready. We will contact you within 2 - 3 business days regarding your status.
Note: All fields MUST be filled out. If not applicable, either fill in "N/A" or choose "Not Applicable".