Beauty Salon License Florida

Beauty Salon License Florida

Contact Information

First Name

Last Name

Address

Suite/Apt

City, State, Zip

Phone

Fax

Email

Company Information

Name of Entity

State of Formation

EIN Number

Date of Formation

License to be effective on

Address

Suite/Apt

City, State, Zip

Shareholder/Officers/Members Information

Shareholder 1

Full Name

Social Security Number

Percentage of Ownership

Residence Address

City, State, Zip

Phone

Fax

Shareholder 2

Full Name

Social Security Number

Percentage of Ownership

Residence Address

City, State, Zip

Phone

Fax

Payment Amount

Signature & Date

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