My account - Green Circle Salons

Name of Business*

Owner's First and Last Name*

Email Address*

Phone Number*

City*

State or Province*

What type of business do you have?*

How did you hear about us?*

Please specify how you heard about us. (Ex. Davines, Facebook, Salon Only Sales)*

Manufacturer*

Name of Representative

Manufacture Other*

Distributor*

Representative's Name

Distributor Other*

Online Research/Social Media*

Online Research/Social Media Other*

Industry Publication*

Industry Publication Other*

Salon Referral*

Green Circle Salons Campaign*

Green Circle Salons Campaign Other*

Tradeshow*

Industry Event*

Industry Event Other*

Green Ambassador*

Media/PR Story*

How many stylists work in your salon?*

What type of business model do you have?*

What is the best method to initially contact you?*