Membership Application | National Association of Cosmetology and Medical Hair Professionals

Membership Dues

Organization Code

If you work with an organization that is an existing member of NACMHP, and were given a code to sign up under their membership, enter it now and click Apply.

Membership Type *

Create Add-On Code

New Applicants: If you would like to add additional users under your membership and would like them to be able to use this application to sign up, you may choose an Organization Code for them to enter at the top of this form.

Contact Information

Email *

Re-enter your email *

Prefix

First Name *

Middle

Last Name *

Suffix

Title

Informal Name

Company *

Address Line 1 *

Address Line 2

Address Line 3

City *

State *

Zip Code *

Country

Website

Phone Number *

Fax Number

CCMail

Include me in Membership Directories *
Yes No

Include me in Broadcast Email *
Yes No

Username/Password Username/Password

Please enter the Username/Password you would like to use to login to this website.

Your Username must be unique and must be at least 6 characters.
Passwords must be a minimum of 8 alpha-numeric characters with at least 1 number or 1 letter.

Username *

Password *

Confirm Password *

Additional Information

Who is the instructor in charge of identifying and verifying the students? *

Who is the manager for the business that will provide the names of all of the members for the company? *

Payment Details

This merchant account is not fully setup; please contact support for help.

Institutional Membership Application

Membership Dues

Contact Information

Username/Password Username/Password

Additional Information

Payment Details

Contact Us

Connect With Us

Institutional Membership Application

Membership Dues

Contact Information Contact Information

Username/Password Username/Password

Additional Information Additional Information

Payment Details Payment Details

Contact Us

Connect With Us

Contact Information

Additional Information

Payment Details