Thank you for submitting your Beauty Salon License Florida

Personal Information

First Name: {{ $data['first_name'] }}

Last Name: {{ $data['last_name'] }}

Address: {{ $data['address'] }}

Suite/Apt: {{ $data['suite_apt'] }}

City, State, ZIP: {{ $data['city_state_zip'] }}

Phone: {{ $data['phone'] }}

Fax: {{ $data['fax'] }}

Email: {{ $data['email'] }}

Company Information

Entity Name: {{ $data['entity_name'] }}

State of Formation: {{ $data['state_formation'] }}

EIN Number: {{ $data['ein_number'] }}

Date of Formation: {{ $data['date_formation'] }}

License Effective Date: {{ $data['license_effective_date'] }}

Company Address: {{ $data['company_address'] }}

Company Suite/Apt: {{ $data['company_suite_apt'] }}

Company City, State, ZIP: {{ $data['company_city_state_zip'] }}

Shareholder 1

Name: {{ $data['shareholder1_name'] }}

SSN: {{ $data['shareholder1_ssn'] }}

Ownership: {{ $data['shareholder1_ownership'] }}%

Address: {{ $data['shareholder1_address'] }}

City, State, ZIP: {{ $data['shareholder1_city_state_zip'] }}

Phone: {{ $data['shareholder1_phone'] }}

Fax: {{ $data['shareholder1_fax'] }}

Shareholder 2

Name: {{ $data['shareholder2_name'] }}

SSN: {{ $data['shareholder2_ssn'] }}

Ownership: {{ $data['shareholder2_ownership'] }}%

Address: {{ $data['shareholder2_address'] }}

City, State, ZIP: {{ $data['shareholder2_city_state_zip'] }}

Phone: {{ $data['shareholder2_phone'] }}

Fax: {{ $data['shareholder2_fax'] }}

Payment Information

Payment Amount: ${{ $data['payment_amount'] }}

Signature: {{ $data['signature'] }}

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