Salon Republic

Application Form

Applicant Information

Salon Republic strives to maintain a professional image to the public and the beauty industry. The information given will be held in confidence. No one will be contacted without your consent.

*Required fields

Professional Information



Current Status:

Professional Info – Continued

Check the following equipment that will be used at the same time:

Do you offer Chemical Straightening/Curling Services?
(i.e. Keratin, Brazilian Blowout, Japanese Straightening, Perm, etc.)

Additional Information

Product Brands You Use (Select All That Apply):

  • Haircare:
  • Color:
  • Skincare:
  • Sundries:

Do you currently retail product?

What is your average weekly retail income?

How Did You Hear About Salon Republic?
Select All that Apply. (required)


Invite Your Friends to SR, Earn $300
*ask our salon manager for the details

Questions? Contact Us –