Enroll today to enjoy privileges available only to Professional Stylists, including the latest on new products, discount coupons, special offers, seminars, free subscriptions to fashion magazines, professional styling tips and trends from the best hair extension and braiding stylists in the world, and lots more.

Before we can get started, we need to know a little more about you. All of your responses will be strictly confidential. They are solely used to help us provide you with the best experience possible. We will not share your information with anyone without your permission. Period!

We hope the following registration survey is the first of many Ultima and Pro10 Hair programs you’ll join!

Tell us a little about your interests so we can let you know when we find some great information for you.

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Please click and drag your interests from the column on the left into the column on the right. Click next when you're done.

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* Mandatory field

Choose a username and password - your password must be at least 8 characters long

* Username
* Password
* First Name
* Last Name
* Street Address
* City
* State
* Zip
* Email


* Are youMale? Female?

Date of birth
(Day, Month, Year)


What race do you consider yourself to be?

Asian
Black/African American
White/Caucasian
Other
Prefer not to answer


Are you of Spanish, Hispanic or Latino origin or decent?

Yes
No

Name of your salon


Salon address


License number *


* Do you specialize in:

* Hair extensions (% of business )
* Weaves (% of business )
* Braiding (% of business )

Do you use:
synthetic fiber
human hair
Ultima protein hair
all three

* Where did you hear about Ultima, natural protein hair?

magazine (which magazine )
beauty supply store
online



I would like to receive occasional email updates from companies Ultima Natural Protein Hair thinks I would be interested in.

Yes
No, thanks