Suite Change Application

This request is for individuals who are changing suites within the same building.

If you are moving to a different physical address, you must apply for a new salon license.

Suite change Request Application $20.00

A $3.00 Convenience Fee will automatically be added to your total.

First Name

Last Name

Salon Name

Salon License Number

Salon Owner' Email

Your request will be verified through this email

Address (including suite number)

City/Town

State/Province

ZIP/Postal Code

A $3.00 Convenience Fee will automatically be added to your total.

Signature

I agree - I understand that by signing electronically, my electronic signature is the legal equivalent of my handwritten signature and I consent to be legally bound to this agreement. I further agree my signature on this document is as valid as if I signed the document in writing. Under penalty of perjury, I herewith affirm that my electronic signature was signed by myself with my full knowledge and consent.I acknowledge that I am submitting a suite change request and understand that I will not be refunded if I fill out the incorrect application.

Signature

Sign above