TEMPLATE - Massage Trade Name Request Form (2010)-2026

1. Click ‘Get Form’ to open the TEMPLATE - Massage Trade Name Request Form (2010) in the editor.
2. Begin by entering your Licensee Name and Lic./Reg. No. in the designated fields. Ensure that all information is legible for processing.
3. Fill in your Mailing Address, E-Mail Address, and Telephone number accurately to ensure proper communication from the Board.
4. If this is your first trade name request, print the exact trade name you wish to use below, ensuring it includes 'Massage', 'LMT', or 'RMP'.
5. Provide the address where the trade name will be used in the specified section.
6. If replacing an existing trade name, complete the current trade name and exact replacement trade name fields accordingly.
7. Finally, print your name, sign, and date the form before submitting it through our platform.

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