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Esthétique SPA International<br />

VANCOUVER CONFERENCE<br />

FEBRUARY 26-27, 2012<br />

Pre-Register by<br />

FEBRUARY 6, 2012<br />

AND SAVE $15!<br />

Fill in this form and mail to :<br />

ESI, 103 - 14056 Curé-Labelle, Mirabel,<br />

Québec CANADA J7J 1L6<br />

or fax to : 450-435-2027<br />

or register online : www.spa-show.com<br />

You may also register on site, on either day of the event,<br />

at the cost of C$75.00 per person.<br />

On-site registration must be paid by debit card, Visa<br />

or MasterCard only.<br />

There will be an UNLIMITED SUPPLY of tickets for sale<br />

ON-SITE each day of the conference.<br />

All sales are final: No refunds, no replacements.<br />

Tickets are non transferable: Resale prohibited;<br />

no name change, NO EXCEPTIONS.<br />

PRE-REGISTRATION INFORMATION<br />

Categories:<br />

1. Esthetician<br />

2. Electrologist<br />

3. Massage therapist<br />

4. Other Spa therapist<br />

5. Manicure<br />

6. Pedicure<br />

7. Makeup artist<br />

8. Nail technician<br />

9. Hair care professional<br />

10. Salon/Spa owner<br />

11. Manager<br />

12. Manufacturer<br />

13. Distributor<br />

14. Plastic surgeon<br />

15. Dermatologist<br />

16. Other medical professional<br />

17. Student<br />

18. Spouse, companion<br />

19. Employee<br />

20. Laser hair removal<br />

21. Nurse<br />

All pre-registration forms received after the pre-registration<br />

deadline will be refused. NO EXCEPTIONS<br />

Please note that NO PERSONAL CHEQUES and NO POST-<br />

DATED CHEQUES will be accepted for pre-registration or<br />

on-site. Pre-registration forms must be accompanied by<br />

BUSINESS or SCHOOL CHEQUE, MONEY ORDER or valid<br />

CREDIT CARD information.<br />

Esthétique SPA International<br />

Tel.: 450-434-4738 Fax: 450-435-2027<br />

Toll free: 1-866-SPA-SHOW (772-7469)<br />

<br />

Pre-Registration<br />

Please register me and my guests NOW for ESI’s<br />

VANCOUVER 2012 CONFERENCE at C$60.00 per person.<br />

Your ID badges will be mailed to you prior to the event. Sorry, no refunds.<br />

Company Name: ________________________________________________<br />

Address: ______________________________________________________<br />

City:_____________________________________Province or State: _______<br />

Postal or Zip Code:_______________________ Country: _________________<br />

Tel.: ( ________ ) _______________________________________________<br />

E-mail: _______________________________________________________<br />

Please list name and corresponding category number for person you<br />

are registering (including yours):<br />

Name: ________________________________________________ Cat.: ____<br />

Name: ________________________________________________ Cat.: ____<br />

Name: ________________________________________________ Cat.: ____<br />

Name: ________________________________________________ Cat.: ____<br />

PLEASE NOTE: No children allowed on site.<br />

Attendees must be 16 or older to be admitted.<br />

Total number of attendees:_______x C$60.00 =__________$ (taxes included)<br />

REGISTRATION TO CONTINUED EDUCATION SEMINARS<br />

FROM 5 PM TO 9 PM SUNDAY FEBRUARY 26<br />

(price includes admission to Vancouver 2012 Conference and Sunday night’s meal)<br />

___ x C$250.00 = $_________ (taxes included)<br />

___ x C$250.00 = $_________ (taxes included)<br />

___ x C$250.00 = $_________ (taxes included)<br />

___ x C$250.00 = $_________ (taxes included)<br />

___ x C$250.00 = $_________ (taxes included)<br />

___ x C$250.00 = $_________ (taxes included)<br />

___ x C$250.00 = $_________ (taxes included)<br />

Make cheque payable to: Esthétique SPA International<br />

No.:<br />

Business/School Cheque Money Order Visa Master Card Amex<br />

Name of cardholder: _________________________________ Exp.:<br />

Signature : _________________________________________Date: ______________<br />

PRE-REGISTRATION<br />

19<br />

SPA-SHOW.COM

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