Interested in Intercoiffure?

Information

For detailed information about Intercoiffure Mondial, see the following brochure:

The following form will be sent to the Intercoiffure president in your country

Country*

Others, please indicate

Surname*

First name*

Birth date (mm/dd/yyyy)*

Name of salon*

Street*

Zip code*

City*

State

Phone*

Fax

Website

E-mail address*

Confirm your e-mail address*

Independant as from

Number of salons*

Number of employees*

I have read the privacy policy and agree to the use of my data.*