There are some errors in your form. Register For Wax Bar Distribution Full Name * Business Name * Email * Phone Number * Please enter a valid phone number (ex. 785-555-5555) Password * Confirm Password * Esthetician License # * Upload Photo of License * How did you hear about us? ------------ Kelley Baker René de la Garza Write In Other After clicking "Register" you will receive an email link to activate your account. If you do not receive the email please use the "Contact" page so we can manually activate your account.