The South Carolina Esthetics Association

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JOIN THE (SCEA)
SOUTH CAROLINA
ESTHETICS ASSOCIATION

Join the South Carolina Esthetics Association!

South Carolina Esthetics Association
Member Application Form
100 Kenilworth Road
Summerville, SC 29485
1-843-771-0895

Date of Application:

Name on Certificate:

Applicant Mailing Address

Address:

City:

State:

Zip:

E-mail address:

Phone (work):

Phone (cell):

Fax

Licenses: (choose all that apply):

Esthetician
Cosmetologist
Salon Owner
Instructor
Other

What State?

Salon /Physician Office Mailing Address

Salon Name/Physician Office

Address:

Address2:

City:

State:

Zip:

How many skincare treatment rooms do you have?

How many skincare practitioners are in your practice?

Services Offered (check all that apply):

Microdermabrasion
Laser hair removal
Vascular blemish removal
Electrolysis
Ultrasonic
Dermaplaning
Microcurrent
Light therapy
Chemical peels
Other (Please list):

Payment
Payment Method: Annual Fee of $58.

Send application and payment to:
SC Esthetics Association
100 Kenilworth Road
Summerville, SC 29485

<Click Here to print payment form>

Pay by:
Check/Money Order • Visa/MasterCard • AMEX
Do not send cash.

A $25 charge will be assessed on all returned checks.
All fees paid to the South Carolina Esthetics Association are non-refundable once your application is accepted.