Membership Application - Fill out the application
Your Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
*
-
Area Code
Phone Number
What is your profession?
*
Hairdresser
Makeup Artist
Student
Other
Choose Membership Option
*
Club Membership $25 per month
Club Membership and Permanent Station $1000 per month
Please verify that you are human
*
Submit
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