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January 17, 2017 David Vargas

Club CHI Rewards

Club CHI Rewards Brochure

* Points are not accessible online at this time.
If you have any questions concerning your existing Club CHI account, please contact our corporate office at 1-800-237-9175 extension 3253.

Contact Information: 800-237-9175

Club CHI Membership Enrollment

Step 1 of 5

20%

Person sending this form:*
- Salon Owner/Stylist
- Sales Rep
- Distributor
Enter Your Name:*
Salon Name*
Business/Cosmetology License Number*
Salon Address (Please do not enter a P.O. Box)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

*(Please do not enter a P.O. Box)
Salon Phone*
Membership Level*
- New Member
- Existing Member
Club CHI Account Number
My Salon is an Exclusive CHI Salon*
- Yes
- No
Selection of this box indicates your RETAIL SALON exclusively carries Farouk products and no other manufacturer.

My Salon Is In A*
- Retail Location
- Home Location
Please Send All Mail To*
- Salon
- Home/Home Business
Home/Home Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Ship All Products To*
- Salon
- Home/Home Business

Member Contact Information
Title*
Salutation*
Other*
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Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Cell Phone
Home Business Phone*
Home Phone*
Email*
Additional Partners (Only if applicable)
1) Name
First Last
2) Name
First Last

Select Distributors that you purchase from. Check ALL that apply.
Must select at least ONE Farouk Distributor.
Territory*
- USA Farouk Distributors
- Canada Farouk Distributors
USA Farouk Distributors*
- Armstrong McCall
- Cosmoprof - Note: if selected, Account Number is required.
- Ruff Distribution
Locations
Street, City, State
Locations
Street, City, State
Locations
Street, City, State
Locations
Street, City, State
Locations
Street, City, State
Locations
Street, City, State
Locations
Street, City, State
Locations
Street, City, State
Canada Farouk Distributors*
- Guay Beaute
- Modern Beauty
- Professional Beauty
- CosmoProf
Cosmoprof Account Number*
Enter your account number for your selected Distributor.
Armstrong McCall Account Number*
Enter your account number for your selected Distributor.
Modern Beauty Account Number*
Enter your account number for your selected Distributor.
Professional Beauty Account Number*
Enter your account number for your selected Distributor.
CosmoProf Account Number*
Enter your account number for your selected Distributor.

Terms and Conditions*
- I have read and agree to the provisions of this Application and the Terms & Conditions.
By checking the box above, you (“you” or “your”) acknowledge your receipt and agreement to the Terms and Conditions set forth below, which govern the Club CHI Rewards Program (the "Program") offered by Farouk Systems, Inc. (“Company”).
Terms and Conditions applicable to the ClubCHI Rewards Program are set forth at the webpage www.farouk.com/club-chi-rewards-terms and are incorporated in their entirety into this Membership Agreement Application as if fully set forth herein. By signing below, you acknowledge your receipt and agreement to the provisions of this application and the Terms and Conditions.
Signature of Applicant*
Enter your full name as signature in the field above.
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