Hair Extension Registration
Salon Name: ____________________________ Stylist #1: ____________________________
Stylist #3: ____________________________ Stylist #4: ____________________________
Stylist #4: ____________________________ Stylist #6: ____________________________
CLASS TYPE
Salon Address: _______________________________________ (check one)
Salon City, State ZIP _______________________________________ Two Day Workshop
Main Contact Tel. No: _______________________________________ Color & Volume Course
Certification Dates: _______________________________________ Color & Design Course
Location: _______________________________________ Length & Volume Course
TERMS AND CONDITIONS In-Salon Workshop
- I have enclosed a valid copy of my Cosmetology License
- I have enclosed a check or filled out the Credit Card information below in the amount of $500.00, holding
my spot in the class. This deposit is non-refundable.
WORKSHOP TYPE NO. STYLISTS DEPOSIT WEEK BEFORE CLASS
Two-Day Workshop 1 $500.00 $2,188.00
Color & Volume Course 1 $250.00 $646.00
Color & Design Course 1 $250.00 $646.00
Length & Volume Course 1 $250.00 $646.00
In-Salon Workshop 3 $500.00/per stylist $596.00/per stylist
4 $500.00/per stylist $496.00/per stylist
5 $500.00/per stylist $396.00/per stylist
By signing below, I agree to these terms.
SIGNATURE: ________________________________________ Date: ___________
CREDIT CARD INFORMATION
Please check one: □ VISA □ MasterCard □ AMEX □ Discover
Name on Card: ________________________________________
Credit Card Number: ________________________________________ Ver. Code: ___________
Expiration Date: ___________________ Billing ZIP: ___________________
As a convenience to me, I request and authorize Beauty West Services, until revoked by written notice, to charge the credit card listed
above—electronically or by any other commercially accepted method—for the payment of invoices posted to my Beauty West Services
account. I further agree that treatment of such charges shall be the same as if they were signed personally by me.
SIGNATURE: ________________________________________ Date: ___________
PLEASE FAX THIS FORM WITH YOUR COSMOTOLOGY LICENSE TO
323.726.3238 OR MAIL IT TO 6250 PEACHTREE STREET · COMMERCE, CA 90040