Pre-Qualification Form
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
Address
Street Address
Street Address Line 2
City
Please Select
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District of Columbia
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Maine
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New York
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Ohio
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Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Desired Date to Begin Lease
-
Month
-
Day
Year
Date
Desired Suite
Model 1 - Mini Deluxe Suite
Model 2 - Single Deluxe Suite
Model 3 - Single Premium Suite
Model 4 - Double Deluxe Suite
MOdel 5 - Double Premium Suite
Years in the beauty industry
Are you an Owner, Booth Renter or on Commission?
Owner
Renter
Commission
Weekly Booth Rent ($)
Commission Pay Scale
Services (%)
Retail (%)
Are your current gross weekly service totals?
Less than $1000
$1000 to $1800
$1800 to $2400
$2400 to $3000
Over $3000
Are you considering a partner?
No
Yes
Question or Comment? How did you hear about us?
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