NAME

SALON NAME

SALON ADDRESS

CITY

PROVINCE

POSTAL CODE

SALON PHONE NUMBER

SALON FAX NUMBER

HOME PHONE NUMBER

E MAIL ADDRESS

METHOD OF PAYMENT:

CHEQUE ENCLOSED

VISA

AMERICAN EXPRESS

CARD #

EXPIRY DATE

NAME ON CARD

CARDHOLDER'S SIGNATURE

DECLARATION:

I hereby declare I have read, understood and complied with the rules and regulations.

SIGNATURE

DATE

ENTRY FORM

Fill out and submit your complete entry form and accompanying images by mail or courier
to: The 17th Annual Canadian Hairstylist of the Year Awards,
c/o Salon Communications, 365 Bloor Street East, Suite 1902, Toronto, Ontario, M4W 3L4.

DID SOMEONE REFER YOU TO THE CONTESSAS?

LET US KNOW!

SALES CONSULTANT NAME

DISTRIBUTOR NAME

ADDRESS

$85 per category

(including GST)

$60 Student Fee

(including GST) for the Student/
Apprentice category

·

Duplicate this form for
additional entries.

·

Enclose payment with each entry.

·

Make cheque or money order payable
to: The Canadian Hairstylist of the
Year Awards.

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