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Alexandria Professional Class Paperwork Form

Month*
Day*
Year*
Certification Course
Who is your educator?*
Registrant Information
Name*
First Last
Home Address*
City*
State/Province*
Zip Code*
Country*
Phone*
Email*
Would like to receive updates/newsletters via email/text?*
- Yes
- No
SMS Consent*
By submitting this form and providing your phone number, you consent to receive marketing text messages (e.g. promos, cart reminders) at the number provided, including messages sent by autodialer. Msg & data rates may apply. Msg frequency varies. Unsubscribe at any time by replying STOP or clicking the unsubscribe link (where available).
Are you a licensed or certified beauty professional?*
- Yes
- No
What type of license or certification do you have?*
- Cosmetology
- Esthetics
- Waxing
Date Licensed
License or Certification Number*
Are you currently enrolled in a beauty academy to become licensed or certified?*
- Yes
- No
Graduation Date
Hidden
Your Tax Exemption Number
Busines or School Information
Are you in a*
- Salon/Spa
- School
- NA
Salon/Spa or School Name*

If you wish your business listed on our Salon Directory you must input a name here.
Hidden
Federal Tax ID #
Salon/Spa or School Address*
City*
State/Province*
ZipCode*

If you wish your business to be searchable on our VIP directory, you must in put a ZipCode.
Phone Number*
Website
Business Email
Privacy Policy*
- I have read and agree to the privacy policies before submitting this form.
After clicking submit, you will be taken to a second page that will input the filled in data from below into the final paperwork that you will digitally sign.

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Alexandria Professional

FAQs
Contact
Privacy Policy

Alexandria Professional Class Paperwork Form

Registrant Information

Busines or School Information