South Carolina Department Of Labor Licensing And Regulation

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South Carolina Department of Labor, Licensing and Regulation
South Carolina Board of Cosmetology
110 Centerview Dr. • Columbia • SC • 29210
P.O. Box 11329 • Columbia • SC 29211-1329
Phone: 803-896-4588 •
BoardInfo@llr.sc.gov
• Fax: 803-896-4484
BOOTH RENTER APPLICATION
Any applicant who has not obtained a booth renter license within one year must complete a
new application and submit a new fee.
Application fees are subject to change and are non-refundable.
A returned check fee of up to $30, or an
amount specified by law, may be assessed on all returned funds.
Fill application out in blue or black ink only.
Faxed applications are not acceptable.
Remit the $100 fee via check, money order or cashier’s check made payable to: LLR-
Board of Cosmetology. Cash is not acceptable.
Booth Renter licenses are not transferrable between salons. If you are changing salon
locations, you must return the old booth renter license and apply for a new booth renter license
for the new salon location.
If you have misplaced your booth renter’s license, this is not the form to complete. Please
complete a duplicate license form and return it to the Board with the appropriate payment.
All information in this document is a public record subject to disclosure pursuant to the S C
Freedom of information Act, except for items designated with this symbol (*).
Registered Cosmetologist- $100
Esthetician- $100
Nail Technician- $100
Social Security Number*:
/
/
_
Date of Birth*:
/
/
Full Legal Name:
_____
First
Middle
Maiden (if married)
Last
Salon Name: ___________________________________________
Salon License Number: SAL________
Salon Address:
Street (physical address required)
City
State
Zip
Salon Mailing Address:
________
Street/PO Box
City
State
Zip
Salon Email Address:
Telephone #: (
)
_________________
Manager’s Name: ___________________________________
Manager’s License Number (Required):____

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