Salon Account Application

This application is provided SOLEY for US health/beauty related companies who are interested in carrying the Signature Minerals Brand in their facility.

**Please note** Signature Minerals does NOT offer private label. We will ONLY consider US Health and Beauty related companies. Brick and morter only; Internet based companies will NOT be considered. US only; We are not accepting International requests at this time.

*First Name:
*Last Name:
*Business Name:
*Business Type: Day Spa Salon Boutique
Dermatologist Office Plastic Surgeon Office
Other (enter below)
    If you chose "Other":
    enter business type here.
*Your Position:
*Email:
*Business Telephone:
(include area code)
Alternate Telephone:
(include area code)
Facimile:
Website Address (include complete http address):
*Business Address (street):
Address 2:
*City:
*State:
*Zip Code:
*Federal Tax ID:
*State Sales Tax #:
*Do you currently offer cosmetics in your faciltiy?: Yes. No.
*Message:
Describe your business, your experience, your intentions, and how and why you feel SM can fit in....don't hold back!
* - Required Fields

All information provided in this application will be reviewed and verified. With this in mind, please allow up to 1 week to receive a response.

Also note: We may request more information before making a decision.

If your application is accepted you will be sent our Terms of Agreement. If the terms are accepted, we will go from there in a quick fashion.

Privacy: Signature Minerals respects your privacy. Your email address and personal information is used only to fill your request - We never send unwanted email and never share your information with any outside party.

Thank You!

         
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