January 25-26 2020 The Mirage Hotel Registration

Accredited Aesthetic Workshop CME Approved Cosmetic Training Course (January 25-26, 2020)

First Name

Last Name

Phone

What is your position?

How did you hear about us?

Facebook
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Friend or Colleague
EMed Events
Sales Rep

Name of Friend of Colleague

Name of Sales Rep

Name as you'd like it to appear on your Certificate

Would you like to stay an extra night?

please check below

Thursday + $275.00
Sunday + $275.00

* All prices include 13.38% state sales tax

Billing Address

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Address Line 2

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Zip Code

Sub Total

$1,295.00

TOTAL

$1,295.00

Payment Method

Credit Card

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Name on Card

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Expiration Date

Month

Year

Verification Number

Thank you for Registering with us!

Great News, Your Registered!

We have received your contact information, reserved your room, and saved your space for January 25-26 seminar at The Mirage Hotel. Please review the policies page on this website for additional information.

If you have any questions, please call me direct at 415-577-7413.

Safe Travels to Las Vegas!

Aimee Fuentes,

Saratoga CME Coordinator

e-mail SaratogaCMEInstitute@gmail.com

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