Please take a moment to tell us about yourself by completing the application below. When you apply for HairCareCredit © online, you will receive a pre-authorization within 48 hours. Simply follow the instructions below. Once pre-qualified, you will be contacted and asked to submit 2 forms of identification. Final approval takes from 24 to 48 hours. Once approved, you will receive ordering instructions and a credit card that can be used at any participating location. Most products and services that are listed on our website are eligible for financing, including hair extensions, lace front wigs, accessories, custom orders, and the cost of application. Financing is available through all authorized AHI salons and resellers nationwide. Look For The Logo HairCareCredit ©

NOTICE TO MARRIED WISCONSIN RESIDENTS:No provision of a marital property

agreement, a unilateral statement under Sec. 766.59 Wis. Statutes, or a court decree under

Sec. 766.70 Wis. Statutes, adversely affects the interest of creditor unless the creditor,

prior to the time the credit is granted, is furnished a the copy of the agreement, statement

or decree or has actual knowledge of the adverse provision when the obligation to the

creditor is incurred. If you are married, you acknowledge that this account is being

opened in the interest of your marriage or family. If you are applying for individual credit

or joint credit with someone who is not your spouse, combine your and your spouse’s

financial information on the application form. If your spouse also is a Wisconsin resident,

we are required by law to obtain the name and address of your spouse.

* Required fields
Name *
E-mail Address *
Date Of Birth *
Home Phone *
Business Phone *
Present Street Address *
Apartment No. If applicable
City *
State *
Zip Code *
Do You Rent Or Own Your Home? *
Country - USA only *
Driver's License State/State Issued ID Information *
Expiration Date *
Social Security Number *
Monthly Net Income (From All Sources) (Whole Dollars) - Alimony, child support or separate maintenance income need not be revealed unless to be relied upon as a basis for repayment. *
Name of nearest relative not living with you *
Relatives phone number *
Is this a joint credit application. If yes is marked, co-applicant will have to fill out a separate form. *
Electronic Signature * First Name *
Electronic Signature Middle Initial
Electronic Signature * Last Name *

I have read and agree to the Privacy Policy *

Spam prevention

Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.

Enter code above:

Payment Processing