Salon Register

Please complete the form below and one of our staff will get back to you as soon as possible.

PERSONAL INFO

SALON INFO

Products I am currently using

Belmacil Lash & Brow Tint

Brow Henna

Lash Lift

Lash Extensions

SUPPLIER

SALON REGISTER

By ticking this box you approve of us adding your salon's details to our public salon finder. We will only use your salon name, address, phone number, and website.

I approve

To be added to our salon finder you will be required to upload a clear photo or scanned image of your Elleebana certificate, as evidence that you have completed your training with us. We must be able to clearly see your name and the date on your certificate. Please upload your certificate in the next section.

Are you a home based salon?

Yes

DECLARATION

I will enthusiastically welcome all members of the public who Ex-Import Niche Products direct to my salon.

Yes

I hereby authorize Ex-Import USA Inc. to supply any enquiries with the salon prospective clients contact details for

As a proprietor of

I agree to receive email correspondence

I agree