Create New Customer Account

For professionals only

Provence Cosmetics, Inc.
269 S. Beverly Drive Suite 146
Beverly Hills, CA 90212
Toll free: 1-877-700-7775
Email : info@provencecosmetics.com

Professional? Click here and enter your Information

Fill up the form below and receive more information about our treatments and products.

First Name *

Last Name *

Day Spa or Salon Name

I am a *

Email Address * We'll never share your email with anyone else.

Website

Phone Number *

Password * Password Note : Minimum 8 character including alphabet and numbers

Confirm Password *

Address - *
Street *

Address Line

City *

State / Province / Region

Postal Zip Code *

Country

I am interested in
Provence Cosmetics

5D From Paris Facial

Bioslimming

Bodypro50

I would like to receive information via
Mail

Phone

How did you Hear About Us? *