Register for a PureOlogy Dandruff ScalpCure™ Sample

Thank you for your interest in PureOlogy Serious Colour Care®! The first 500 participants will receive a free sample* of PureOlogy Dandruff ScalpCure™ Shampoo and Condition.

* While supplies last. Please allow 8-12 weeks for delivery. Available to residents of the 48 continental United States and AK and HI only. Limit one sample per household or address. You must be 18 or older to receive this sample. Please fill out and submit the registration form below:

   
First Name*
   		Last Name*
 
   
Salon Name
 
   
Mailing Address*
   
City*
  		State*
  		   
   
Zip Code*
  		Phone Number*
  		   
   
Salon Website
  		E-mail Address*
  		   
   
   
   
* required fields