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retailer registration for website use

You must be an approved retailer and active wholesale customer of Shirley of Hollywood in order to register as a site user.
To become an approved retailer, please click here.

If you are an approved retailer and active Shirley of Hollywood customer, please fill in the following information and click the Submit button. Fields marked in red are required in order to obtain access to the system.
It may take 2-3 business days to activate your account. You should receive an email when your account is active.

User ID:    Choose your own User ID and password. 
Password:    Confirm password:   
First Name:    Last Name:   
Email address:   
Website URL:   
Account #:   
Company Name:   
Postal Code:    Resale Number:   
Phone:    Fax: