Professional application Welcome! Thank you for your interest in Janssen Cosmetics! Please fill out the form. PROFESSIONAL APPLICATION Upon submission, please allow 1-2 business days for processing. Thank you for your patience. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Service AvailabilityJanssen Cosmetics LUI does not service the following states: ND, SD, NE, MN, IA, WI, IL, MI, OH, KY. If you are located in these states and experiencing issues with your current distributor, please email info@janssencosmetics-lui.com for further assistance. Username *Email *Password *Name *FirstLastPosition *Business InformationBusiness Name *Business Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code applicable): Texas dedicated Phone *Company Website Is your account intended for professional or personal purposes? *Professional use (salon, spa, or licensed treatment provider)Personal use (not for professional or business purposes)Texas Resale Certificate *I am not located in TexasI am located in Texas and have a valid Texas Resale CertificateIf located in Texas, we require our wholesale purchasers to have a valid Texas Resale CertificatePlease upload a picture of your Texas Resale Certificate here (if applicable): Drag & Drop Files, Choose Files to Upload Please ensure that the license matches the name on the application. Unfortunately, we are unable to accept expired certificates.Type of Business *Day SpaMedical SpaSalon with Spa ServicesSingle EstheticianDestination SpaCertified Message TherapistWellness CenterHome BaseSchool Offering Esthetics ProgramStudentOtherAre you the primary decision maker?YesNo, I would have to talk to a supervisor for any final decisionsDoes your business have a dedicated retail space? *YesNoDo you have a licensed esthetician on staff? *YesNoLicense Type (Cosmetologist, Esthetician, etc.) *Please upload a picture of your license here: * Drag & Drop Files, Choose Files to Upload Please ensure that the license matches the name on the application. Unfortunately, we are unable to accept expired or inactive licenses.Do you currently have a Janssen Cosmetics representative? *YesNoOnline Sales Agreement: *I agree to the Online Sales Agreement.By checking this box, I agree and understand that Janssen Cosmetics is not to be sold on any unauthorized third-party websites, including (but not excluded) eBay, Amazon, my personal website, or any other unauthorized third-party sellers without exclusive permission from Janssen Cosmetics. I understand that disobeying this agreement is against Janssen Cosmetic’s terms and conditions and will disqualify me as a wholesale purchaser. How did you hear about Janssen Cosmetics?Social MediaTrade ShowWord of MouthSchoolSpa in your areaIf referred by a friend, please enter their full name here:Any additional informationHere you can let us know more about you or anything that you would like to share!Submit