CHI COLORMASTER CUSTOMER INTAKE FORM

Distributor:

Store Name:

Store Number:

Email Address:

Manager Name

First Last

Delivery Directions

Allow Two Weeks for the CHI Color Factory to ship to the salon.

Salon Business Name:

Phone Number:

Salon Owner /Officer:

Phone Number:

Email Address:

Cell Number:

Business Hours (Opening)

:

Business Hours (Closing)

:

Salon Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping Address:

Fill out only if address is different to the Salon address.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years in Current Location:

Date

COLOR MASTER CUSTOMER INTAKE FORM