Please completely fill out the form accurately in order to process your CE hours properly. First Name Last Name Maiden Email Have you taken Cosmetology Continuing Education Course before? Yes No Has your name or contact infomation change within the past 2 years Yes No South Carolina Professional License Number: Last 4 Digits of Social Security Number: Permanent Mailing Address (Street Address) Permanent Mailing Address (City) Permanent Mailing Address (State) Permanent Mailing Address (Zip Code) Primary Number What type of license are you looking to renew? Cosmetologist Nail Technician Esthetician Message Send
