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The document is a registration form for booth or chair rental with the West Virginia State Board of Barbers and Cosmetologists. It outlines the requirements for first-time registration, changes of location, annual renewals, and adding locations, all of which require a $10 fee. The form collects personal and shop information from applicants and emphasizes the need for annual certification for licensed professionals who do not have taxes withheld by their employers. It also includes a consent clause regarding the handling of Personally Identifiable Information.

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