Welcome! Can't wait to get to know you  better:)
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Please provide your first and last name *

 
What Is Your Street Address? *

 
Please provide City, State, Zip and Country *

 
What is your Email Address? *

 
What is your Phone Number? *

 
Occasionally we will send out text messages to the JacePro partners. Can this phone number accept text messages? *

     
 
Do you have a website? *

     
 
If yes, please provide your Web Address below. If no, type 'none'. *

 
Are you on Facebook? *

     
 
If yes, please provide the link to your page. If no, type 'none'. *

 
Are you on Instagram? *

     
 
If yes, please provide the link to your page. If no, type 'none'. *

 
Are you a Licensed Cosmetologist? *

     
 
Do you work outside the home in a salon? *

     
 
If yes, please provide the name and address of the salon. If no, type 'none'.

 
On average, how many hair addition install clients do you serve a week? *

 
What is the average cost you charge for a hair addition or extension service? *

 
List your business or cosmetology license number *

 
License issued In what state? *

 
How long have you been in business? *

 
Are you a salon owner? *

     
 
Do you own a brick and mortar retail store? *

     
 
If yes, please list name and address. If no, type 'none'. *

 
Do you wear hair extensions? *

     
 
Have you used JACE products before? *

     
 
How did you hear about JacePro? *


 
Who referred you? Please give individual's name and email. If none, type 'none'. *

 
Is there anything else you'd like for us to know about you or your business?

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