Registration - Lasio Professional Hair Care

Wholesaler Registration

By creating an account you will be able to shop faster, be updated on your order status, and keep track of previous orders. If you are a licensed cosmetologist or salon owner please register as a Professional.

Your Personal Details

Gender:

Male Female

First Name*

Last Name*

Date of Birth*

E-Mail*

Company Details

Company Name*

Your Address

Street Address*

Street Address 2:

Post Code*

City*

Country*

State/Province*

Your Contact Information

Telephone Number*

Alternate Phone Number

Fax Number

Your Password

Password*

Password Confirmation*

Salon Information

Salon Name*

Cosmetology or Business License Number*

Do you currently perform keratin treatments?:

Yes No

Which treatment(s) do you currently use? *

How many stylists perform keratin treatments in your salon?*

How did you find us?*

Tax Exemption

*I accept to abide by the terms listed in Lasio's Consumer Agreement

Wholesaler Registration

Your Personal Details

Company Details

Your Address

Your Contact Information

Option

Your Password

Salon Information

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