Payment Plan Credit Application

Please submit the credit application below to apply for Cosmix School of Makeup Artistry In-House Payment Plan. Once you have completed the form, press the submit button on the bottom of your screen.

1. GENERAL INFORMATION

*First Name

*Last Name

Date of Birth:

*Address

Apt/Suite:

*City:

*State

*Country

*Postal Code

*Phone number

Alternative Phone

*Social Security Number

Total Monthly Income

Other Monthly Income

Initial to authorize Cosmix to obtain a credit report

2. EMPLOYMENT INFORMATION

*Employers Name

Length of Employment

Employers Phone Number

Employers Address

3. COSIGNER’S INFORMATION

First Name

Last Name

Date of Birth:

Address

Apt/Suite:

City:

State

Country

Postal Code

Phone number

Alternative Phone

*Social Security Number

Total Monthly Income

Other Monthly Income

Initial to authorize Cosmix to obtain a credit report

4. COSIGNER’S EMPLOYMENT INFORMATION

*Employers Name

Length of Employment

Employers Phone Number

Employers Address

5. Method of Payment

In order to apply, students must submit $25.00 fee. Students may pay with cash, credit card, or a check drawn on an American bank.

Credit Card Type:

*Credit Card Number:

*Name on Card:

*Security Code(CVV):

Expires:

*Month:

*Year :

*Billing ZipCode:

Request A Tour

Please fill out the following information and we will call to schedule a tour.