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 INSTRUCTIONS FOR FILING FORM FOR ELECTROLYSIS, OPTOMETRIST, PODIATRIST/CHIROPODIST

FORM
DOWN LOAD THE FORM AND FILL OUT USING
BLACK INK AND PLEASE PRINT.
DATE AND SIGN FORM

SEND THE FOLLOWING:
1. COMPLETED REGISTRATION FORM WITH ORIGINAL SIGNATURE
2. COPY OF MASSACHUSETTS REGISTRATION CERTIFICATE
3. STAMPED SELF ADDRESSED ENVELOPE
(for a certified copy of the registration certificate)
4. CHECK IN THE AMOUNT OF $35.00 (payable to the City of Cambridge)

MAIL THE ABOVE TO:
CITY CLERK'S OFFICE
795 MASSACHUSETTS AVENUE
CAMBRIDGE, MA 02139

Click here to down load the form (PDF)