Please fill out this form for EVERY attendee

Due to the number of no-shows at previous events, a payment of $20 per person will be collected. Refunds will be given up to Sept 19th OR later in the case of emergency only. This is a VERY small price to pay for the value of a full day of education AND a goodie bag of products that weighted in at 9 pounds in 2004!

Contact information is REQUIRED - please provide at least one telephone number for contact. If your contact info is not complete you will NOT be registered.

You can pay by check or with a credit card using PayPal (account sign up not required). After submitting this form you will be taken to the payment info screens.

Your Name:
Your Email:
Home Phone:
Work Phone:
Cell Phone:
Address:  
City:
State:
Zip Code:
Is this your:
Home address
Salon/Business address

If educate for a company, would you represent them at the event??
Yes -- Which Company?
No

I will be paying by Check
I will be paying by PayPal