Beauty Industry Council

2-Hour HIV/AIDS Barber Continuing Education Course - $12.95

Student Information

First Name

Last Name

Address

Apartment # or Suite #

State / Province

City

ZIP / Postal Code

Day Telephone

Date Of Birth
(mm/dd/yyyy)

Gender MaleFemale

E-mail Address

( your username and password will be e-mailed to this address )

$ 12 95

You may use anything for your username that does not contain spaces and is between 4 and 64 characters in length. Use something that is easy to remember like a phone number or email address. Entering your password twice prevents typos and mistakes.

Username
Password
Password Again

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