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Individual Membership Application


Please complete all fields.
First Name:
Last Name:
E-mail:


Work Information
Salon Name:
Street:
City:
State/Province/Country:
Zip/Postal Code:
Telephone number:


Home Information
Street:
City:
State/Province/Country:
Zip/Postal Code:
Telephone number:


Other Information
Cosmetology license #:
Professional Title:
Birth Day:
How did you hear about us?:


Please give us any comments on how the International Pedicure Association can best serve you:


Only your name, salon name, work phone number and location will be published in the membership directory.

 

 

Initial Membership Dues: $150
(Plus 13% HST in Canada)
($200/yr International)

Renewal Dues: $100/Yr
(Plus 13% HST in Canada)
($150/yr International)

How to Pay your Membership Dues

a. Internet: Register as normal, please call below for payment options.
b. Mail or Fax: Please fill out the membership application on this page and press the submit button, so we may enter you in our database. Also click: download payment form. You will download a pdf form, that you can return with your payment. Mailing address may be found on the contact page.
Download Payment Form

c. Phone: 1-866-326-7573
Fax: 1-866-331-9544
© 2009 International Pedicure Association