Healthy Hair Revolution Form
Healthy Hair Revolution
Let's get you started on reaching your very own personal hair goals with a customized anti-aging Hair Care system.
WHO WE ARE — We are the fastest growing premium Haircare & Skincare line in North America.
‣ Monat Hair Care is the only anti-aging, clinically tested hair care line in the world.
‣ Monat Skincare line is both dermatologically & ophthalmologically approved.
WHAT WE DO —
‣ We offer naturally based Hair Care products that are clinically backed and scientifically proven to promote healthy hair growth, and reverse damage to your hair's healthiest state.
‣ We offer anti-aging Skincare products that promise to: increase brightness & radiance, reduce age spots, improve skin tone, reduce elasticity, reduce fine lines & wrinkles, improve texture, and increase moisture & hydration.
WE SAY NO TO —
‣ Harmful Ingredients, colors, and Fragrances. No Parabens, Gluten, SLS/SLES, Cyclic Silicones, BHT, DEA/MEA, Phthalates, Petrolatum, Mineral, or Wax, Triclosan, Plastic Microbeads, Formaldehyde Releasers.
OUR PRODUCTS — 100% vegan, gluten free, and Leaping Bunny Certified.
‣ Haircare line provides 88% more manageability and shine after the first wash and will cut your blow drying time in half.
‣ Skincare line guarantees to reduce wrinkles by 15%.
WHO ARE THESE PRODUCTS FOR — Women, men, kids, & we have a PET line!
WHERE CAN I SEE PROVEN RESULTS — Please head to Instagram & look up the hashtag #monatbeforeandafter for just under 40K tags of incredible before and after results. Photos for specific results can be requested.
‣‣ Each product is specific to hair & skin type needs. Please answer the questions below as accurately as possible so I can provide you with a system for your healthier hair and/or skin yet --
NOTE: Remember the more you spend, the more you save with our new Purchase + program!
(15-25% discounts are available on orders from $116-$250 Retail or $99-$213 VIP Program)

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Email *
Full Name *
Are you new or existing customer *
Phone Number *
Instagram Handle (put N/a if unavailable) *
Gender *
Select your contry *
What HAIR GOALS would you like to achieve? Please check all that apply: *
Required
What is your type of hair? *
How often do you wash your hair? * *
Is your hair: *
Is your scalp: *
Is it itchy/flaky? *
My main concerns are? *
I'm Interested In: *
I'm Interested In: *
Would you be interested in hearing more about: *
I want to be contacted with: *
Please leave your contact information below: Name, Phone #, & Instagram *
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