Membership Application

Name:
Address:
Home Phone:
Business Phone:
Email:
Primary Area of Practice (check one):
Cosmetologist
Esthetician
Nail Technician
Barber
Other

Membership Classification (check one):
Salon Owner/Manager
Salon Employee
Booth Renter
School Owner
Educator
Non-Practicing/Retired
Other
Student ($25.00 dues)

Release: By checking the box and/or clicking “Continue to Payment” you are agreeing to the following:

Release signature I understand that ACSP dues are not deductible as charitable contributions for federal tax purposes. Pursuant to IRS regulations only 65% of your dues is deductible due to lobbying expenditures made by ACSP. I understand, however, that these dues may be deductible as an ordinary expense under Sect. 162 Internal Revenue Code. I understand that no portion of my dues can be refunded once ACSP receives them. I agree to abide by ACSP Bylaws/Constitution now in force or which may hereafter be enacted or amended. I understand that I am joining the Association of Cosmetology Salon Professionals (ACSP) and will be eligible only for benefits provided by ACSP and that those benefits are subject to change at any time. I release all rights to pictures of me or my likeness and anything written or submitted by me for ACSP’s publications. ACSP is not responsible for liability, expressed or implied and will not provide compensation or gain of any kind for the use of pictures, articles, or submissions for organization publications.