Online Membership Application

Name(Required)

Business Name(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

Home Phone

Business Phone(Required)

Email(Required)

Business Information

Position(Required)

Electrolysis Years of Practice(Required)

Modality Used(Required)

(Blend/Thermolysis/Electrolysis)

Certificate Number(s)(Required)

(CPE/CCE/Other)

Other Services Offered

(Laser/Wax/Facials/Nails/Other)

Are you a member of another Electrolysis Association?

If yes, which ones

* Include photocopies of all your Electrolysis Diploma(s) and Certificates with this application.
* Note: Applicant MUST include a copy of an FCEA issued CPE Certificate or a Certificate from a 300hr - 500hr registered school to become a member of the Atlantic Association of Professional Electrologists.
AAPE New Member fee $275.00

Diploma and Certificate Files(Required)

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.

Today's Date(Required)

Signature(Required)

Receipts will be issued upon acceptance of membership. Please send your new membership application and e-transfer to: admin@aape.co

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