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Makeup Artist Register


To register, please fill out the following form. In a few minutes, you can start to take advantage of your exclusive membership benefits.
Please note that Nixie Cosmetics respects your privacy. Click here to review our Privay Policy.

*Required Fields
1. BASIC INFORMATION

First Name*:
Last Name*:
Address* :
Apartment/Suite/Other # :
City* :
State* : or Province
Country* :
Postal/Zip Code* :
Phone* :
 ( ex: 000-000-0000 )
Cellular :
 ( ex: 000-000-0000 )
Fax :
 ( ex: 000-000-0000 )
Date of Birth : (MM DD YYYY)
Email* :
Website :

2. ID and PASSWORD


     Please create your ID and password.
     Password is case sensitive and must be a minimum of 4 characters.
ID* :  
PASSWORD* :  (4 to 12 long alphanumeric)
PASSWORD CONFIRMATION* :

3. Please help us learn more about you by answering a few more questions.


* How did you find out about Nixie Cosmetics? (select option and fill in the blank)

Friend/Other Makeup Artist
Magazine
Web Link
Internet Search
Other

* Are you currently attending beauty school or any program for training? If so, please provide your school's name.

NO
Yes


4. Palette Options (Optional) **



5. Membership Requirements


Please provide 1 or more of the following professional documentations to be approved for the program.

* Business Card (actual scanned copy) (gif, jpg, pdf)
* Makeup Artist training certificate
* Website link containing professional profile and sample work

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