Let's Tame Your Mane!
Don't be shy, let's work together. We are the #1 hair-care brand in North America offering naturally based products that grow and anchor the hair. We are bringing you the best of both nature and science that together create the first and only luxury anti-aging, clinically-tested hair care line in the world! NO SILICONE'S! NO SULFATES! NO PARABENS! NO HARMFUL FRAGRANCES! GLUTEN-FREE!100% VEGAN FORMULAS!LEAPING BUNNY CERTIFIED!NATIONAL HAIR LOSS ASSOCIATION APPROVED!
Full Name/Nombre y Apellido
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First Name
Last Name
Address/Direccion Postal
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number/Numero de Telefono
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-
Area Code
Phone Number
Date of Birth/Fecha de Nacimiento
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Month
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Day
Year
Date
Email/Correo Electronico
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Confirmation Email
example@example.com
Instagram Handle/Nombre de Instagram
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User Name/Nombre de Usuario
Please answer the questions below to get started on your hair journey!
What country are you located in/ De que pais eres ? (only available in countries below/solo disponible en los siguientes paises:
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USA
Puerto Rico
Canada
United Kingdom
Ireland
Poland
How would you describe your hair/Como describirias su cabello:
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Thin/Fino
Medium/Mediano
Thick/Grueso
What is your hair texture/Cual es la textura de su cabello:
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Straight/Liso
Wavy/Ondulado
Curly/Rizo
Is your scalp/Su cuero cabelludo es:
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Normal/Normal
Dry/Seco
Oily/Grasoso
Flaky/Escamosa
Itchy/Picazon
Is your hair/Su cabello es:
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Fine/Fino
Normal/Normal
Coarse/Grueso
How long does it take for your hair to be oily/Cuanto tiempo tarda tu cabello en ponerse grasoso:
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1-2 Day/Dias
3-4 days/Dias
5-7 Days/Dias
Is your hair color treated/Su cabello es tratado con color:
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Yes/Si
No/No
Is your hair dry/Su cabello es seco:
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Very Dry/Bien Seco
Somewhat Dry/Algo Seco
Not at all Dry/No seco en lo absoluto
Is your frizzy/Encrespado:
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Very Frizzy/Encrespado
Somewhat Frizzy/Algo Encrespado
Not all Frizzy/No Encrespado en lo absoluto
Are you suffering from hair loss/Sufre usted de perdida de cabello:
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Yes, my hairline/Si, mi linea de cabello
Yes, a specific spot/Si, un lugar especifico
Yes, all over my head/Si, por toda la cabeza
No, not at all/No, para nada
Do you use any of the following treatments/Se ha realizado alguno de los siguientes tratamientos:
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Perm/Permanentes
Relaxers/Alizados
Keratin/Keratina
Is your hair chemically damaged/Su cabello eats maltratado quimicamente o por calor:
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Very Damaged/Muy Maltratado
Somewhat damaged/Algo maltratado
Not at all damaged/No maltratado en lo absoluto
How do you normally style your hair/Como se peina normalmente
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Blow Dry/Secado con blower
Air Dry/Secado al aire libre
Curl/Rizo
What is your biggest hair concern/Cual es su major preocupacion:
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What is your ultimate hair goal/Cuales son sus objetivos finales para su cabello:
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Would you be interested in learning about Rejuvenique - Our Holy Grail/Le interesa aprender sober el aciete Rejuvenique - nuestro aciete caracteristico :
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Yes/Si
No/No
Are you interested in receiving a 15% discount/Le interesa recibir un 15% de descuento:
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Yes/Si
No/No
Would you be interested in starting your own business/Le interesa iniciar su propio negocio:
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Yes! Let's Get it!/Si
No... I like my 9-5/No, prefiero mi trabajo de 9-5
More info, please!/Mas informacion por favor
Would you be interested in joining a team call explaining how we empower you to work from anywhere? How can we help you live your best life/Le interesa unirse a una llamada de equipo explicando como empoderamos a las personas para que trabajen desde cualquier lugar, incluso desde su hogar, y como podemos ayudarte a vivir una mejor vida:
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Yes, please!/Si, por favor!
No, thank you!/No, gracias
Submit
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