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To register as a RUSK Source Salon, please complete the below enrollment form. To qualify as a RUSK Source Salon, your salon must commit to purchase a minimum of $450.00 per quarter of RUSK products. As a RUSK Source Salon in good standing, you will receive Source Points for your purchases of RUSK products. click here for more information


Salon Name

Owner / Manager

Address

City

State

Postal Code

E-mail

Password	(must contain a combination of letters and numbers)

Phone	()-

Web-site

Distributor

Distributor Account Number

By checking this box and and becoming a RUSK Source Salon member, I agree to abide by the rules and guidelines of the Source Program. I have read and fully understand the RUSK Source Salon Benefits and Rewards program. I have read and fully understand the terms and conditions of becoming a RUSK Source Salon. As a RUSK Source Salon member, I agree to the quarterly purchase commitment of RUSK products.