7400 Pacific Circle | Mississauga | ON L5T 2A4 | venusbeauty.com NEW ACCOUNT APPLICATION FORM For the purpose of obtaining a VENUS Customer Number ONLY. This is not a Credit Application Form. As a wholesale supplier to the professional beauty industry, we require detailed customer information to ensure we are selling to our intended audience. The completed Account Application Form helps us to maintain the integrity of our customer database and improve overall customer experience. The Account Application Form must be completed in full before a VENUS Customer Number is issued. A VENUS Customer Number is required before purchasing product. Missing information may delay the application process. All information herein is held in strict confidence and will not be shared with any third parties. If an order is undeliverable, we may contact the customer by means of the information provided herein. All purchases are to be PREAID by VISA, MasterCard or AMEX at the time of invoicing. To inquiry about NET30 Terms, please contact your local VENUS Business Consultant for full details – thank you! Questions? Contact online@venusbeauty.comBusiness Category*please select one or more Salon Owner Independent Operator Barber Esthetician Hair Salon / Spa Spa Only Chain Account School Nail Salon Beauty Supplier Apprentice Cosmetology Student Payment Terms* PREPAID (Credit Card) Do you currently have a VENUS Business Consultant?*YesNoBusiness Hours Closed*Days Closed Monday Tuesday Wednesday Thursday Friday Saturday Sunday Open 7 Days a Week Account Information *required information Account Name*Legal or Trade Name*If different from account name i.e. Ontario Ltd#Business Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Business Phone Number*Fax NumberBusiness Email Address*This email address will be your VENUS ‘Username’ for online access. Alerts, Order & Shipping confirmations, invoicing and other account information will be sent to this email address. Email Address for billing purposesIf different from above Web Addressif applicableShipping AddressIf different from billing address Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Owner Contact Information Owner Name* First Last Primary Phone Number*Email Address* Partner Contact Information (if applicable) Partner Name First Last Home Phone NumberCell NumberEmail Address Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Additional Authorized Account Users (if applicable) Authorized User Name First Last Contact Phone NumberEmail OwnerManagerAccountantAuthorized User Name First Last Contact Phone NumberEmail OwnerManagerAccountantCredit Card Information (mandatory if purchasing product) Credit Card Information*Please note: Credit Card information on this webform will be emailed to VENUS Beauty. Credit Card numbers are encrypted once entered in our system. Credit Card numbers are not saved on this website.I will provide credit card information nowI prefer to provide credit card information at a later dateCredit Card TypeVisaMasterCardAMEXName on Credit Card*name as it appears on the cardName on Credit Card*name as it appears on the cardName on Credit Card*name as it appears on the cardCredit Card Numberenter your 16 digit credit card number (no spaces)Credit Card Number*enter your 16 digit credit card number (no spaces)Credit Card Number*enter your 15 digit AMEX card number (no spaces)Expiry Date*Expiry Date*Expiry Date*I hereby authorize payment with the credit card listed above.* Yes Terms & Conditions* PAYMENTS All customers are shipped PREPAID by Credit Card payment Other PREPAYMENT methods may be available prior to shipping product (i.e. INTERAC E-transfer, Bank Draft or Certified Cheque). The information herein provided by the Applicant is warranted to be true, complete, correct and given for the purpose of obtaining a VENUS Account Number All claims against invoices must be received within 2 days of receipt of goods. All shipped and invoiced goods remain the property of VENUS Beauty Supplies Ltd. until invoices are paid in full. BACK ORDERS In stock products will be shipped immediately. Out of stock or special-order items will be backordered and shipped as soon as they are received. Back-ordered items will be invoiced separately at time of shipment. Please note, all back orders for hair color under 6 tubes will be cancelled and the customer LS Virtual Yours must re-order, unless the hair color was no charge and purchased in an Introductory Promotion. FREIGHT Shipments will be delivered via our courier services. Delivery charges are based on the type of service used to deliver to the salon: • PREPAID — $12.00 (subject to change) • PREPAID over $200 — $0 (subject to change) Please Note: Additional freight charges may apply for furniture orders, over-sized/over-weight orders or specific regions within Ontario. RETURNS Terms & Conditions Merchandise may be returned for credit. Credit will only be given if product is in resale able condition. Damaged or defaced packaging/product is not returnable. Clearance, discontinued items or items subject to hygienic restrictions (hairbrushes, hair extensions etc.) are not returnable. A 15% restocking fee will apply to any returned products purchased after 3 months. No returns will be accepted on products purchased after 6 months from date of purchase. A Return Merchandise Authorization number (RMA#) must be issued for all merchandise before return is accepted. The RMA# must be visible on all boxes being returned. Please contact your VENUS Business Consultant or customercare@venusbeauty.com for an RMA number. To expedite your return quickly, please indicate the original invoice number during the RMA request. Please allow up to 2-4 weeks for credit to be processed once product is picked up. Please be advised that pricing will reflect the last purchase price found in our accounting system for that item. Items are not credited until they are received and inspected in our warehouse. Credits will be applied to future orders. Pick-up fees apply where applicable. RETURNS Terms & Conditions - Furniture/Equipment All furniture and equipment is PREPAID, non-returnable and considered final sale. Prices are subject to change without notice and products will be invoiced at prices prevailing on the day of shipment. We will notify you of price changes in advance of shipping. Special Orders are considered final sale. WARRANTY Warranties on electrical goods are subject to each manufacturer’s own warranty & return policy. VENUS will honor the warranties as outlined. For defective items, proof of purchase with the original VENUS Invoice must accompany all returns. Please refer to our venusbeauty.com homepage for full Warranty Information on all our brands. You may also contact customercare@venusbeauty.com for further information.Cosmetology Credentials* (This information is mandatory. VENUS only sells to qualified industry professionals) Must be registered with the Ontario College of Trades (Trade Code 332A), Colleges Apprentices Class or passed a Certificate of Qualification ExamName First Last Cosmetology License NumberCosmetology Apprentice Numberif applicableStudent IDif applicableIf a student, name of Cosmetology Schoolif applicableUpload Government Issue Photo IDPlease upload a PDF or JPG image of your IDAccepted file types: jpg, pdf.Upload Cosmetology License/Student IDPlease upload a PDF or JPG image of your IDAccepted file types: jpg, pdf.Name of Applicant* Full Name I have read and agree to the Terms & Conditions above*Must select "YES" to submit form YES CAPTCHAFOR OFFICE USE ONLY Customer Number ____________________________________________________________VENUS Business Consultant ____________________________________________________________