JB COSMETICS - AMERICA

(U.S. Toll Free)1.800.748.5168
(Worldwide)1.951.817.9300

Contact Form / Salon or Spa Information
* Name :
* Title/Position :
* Business Name :
Business Website :
* Address Line 1 :
Address Line 2 :
* City :
* State
* country: (if from foreign)
* Zipcode :
* Primary Phone :	- -
Alternate Phone :	- -
Fax Number :	- -
* Email :
* Company which training & certification was obtained:
How long this service has been offered at the salon/spa:
* Approx. #of Glue to be ordered per Month :	bottles
* Approx. #of Lash Containers to be ordered per Month :	Containers or grams
Approx. #of Remover to be ordered per Month :	bottles
Approx. #of Kits to be ordered per Month :	cases
Reason for inquiry :
* I prefer to be contacted by :	Phone E-Mail
* I am mostly available :	Day Evening
How did you hear about us? :	Lashoutpro.com Internet If Advertisement please describe: If Trade Show please describe: If Referral please describe:

Please contact bulk@jbcosmetics.com for more information.
Your success is our success!