Transcription of INSTRUCTIONS SECTION A: LICENSEE INFORMATION
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INSTRUCTIONS SECTION A: LICENSEE INFORMATION
BarberCosmo ' ' ' D DD D DDDDDD D D D DODD DDDDDDDD DDDDDDDDDD D D PERSONAL LICENSE RENEWAL Cashiering Use Only: 2020 Entity # Receipt # Amount $ INSTRUCTIONS Mail this form and a check or money order (do not send cash) (fee for each license type renewal below) to the address above payable to the Board of Barbering and Cosmetology (incomplete forms will not be processed). You can also renew your license online at . SECTION A: LICENSEE INFORMATION LICENSE TYPE AND FEE: If postmarked If postmarked on or before after expiration date. expiration date. Barber (1001) $ $ * Cosmetologist (1002) $ $ * Electrologist (1003) $ $ * Esthetician (1004) $ $ * Manicurist (1005) $ $ * *Based on a 2 year NUMBER: Letter(s): Numbers:Last Name (print clearly) First Name Middle Name If your name has changed, attach completed Change of Name form with this renewal*.
(916) 574-7570 phone (916) 575-7281 fax. AUTHORITY WHICH AUTHORIZES THE MAINTENANCE OF THE INFORMATION . Sections 7300 to 7457, inclusive, comprising Chapter 10 Division 3, of the California Business and Professions Code. CONSEQUENCES OF NOT PROVIDING ALL OR ANY PART OF THE REQUESTED INFORMATION:
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