If you want to become a member of Allied Cosmetologist and Barbers Inc., Of Illinois complete below.

Question Suggestion JOIN Problem Complaint

          Enter your comments about joining and fill out the form below:

Compete the application: PLEASE FILL IN ALL BLANKS

First name		Last name
E-mail
Home Phone		Bus. Phone
FAX
Business Name
Address
City		State		Zip code

           Please Check One

1. Operate Own Business Work On Percentage Retired Booth Renter Salaried
2. Barber Student Other
3. New Member Renewal

4. Annual Professional Fee $60.00 Student $40.00 Manufacturer$500.00 Distributor $100.00

Mail your check to...   Allied Cosmetologist Inc.   1629 Ridge Ave.     East St. Louis, Illinois 62205

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