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Esthétique <strong>SPA</strong> <strong>International</strong><br />

VANCOUVER CONFERENCE<br />

FEBRUARY 17-18, <strong>2013</strong><br />

Pre-Register by<br />

JANUARY 28, <strong>2013</strong><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-<strong>show</strong>.com<br />

You may also register on site, on ei<strong>the</strong>r day of <strong>the</strong> event,<br />

at <strong>the</strong> cost of C$75.00 per person. On-site registration<br />

must be paid by debit card, Visa or MasterCard only.<br />

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

ON-SITE each day of <strong>the</strong> 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. Es<strong>the</strong>tician<br />

14. Distributor<br />

2. Electrologist<br />

15. Plastic surgeon<br />

3. Massage <strong>the</strong>rapist 16. Medical doctor<br />

4. O<strong>the</strong>r Spa <strong>the</strong>rapies 17. Dermatologist<br />

5. Manicure<br />

18. O<strong>the</strong>r medical professional<br />

6. Pedicure<br />

19. Student<br />

7. Makeup artist<br />

20. Guest<br />

8. Nail technician<br />

21. Staff<br />

9. Hair care professional 22. Laser hair removal<br />

10. Spa owner<br />

23. Nurse<br />

11. Spa director<br />

24. Salon owner<br />

12. Spa manager<br />

13. Manufacturer<br />

23. Salon manager<br />

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

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

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

www.spa-<strong>show</strong>.com • info@spa-<strong>show</strong>.com<br />

Pre-Registration<br />

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

VANCOUVER <strong>2013</strong> CONFERENCE at C$60.00 per person.<br />

Your ID badges will be mailed to you prior to <strong>the</strong> 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<br />

for person you 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 CONTINUING EDUCATION SEMINAR<br />

FROM 5 PM TO 9 PM SUNDAY FEBRUARY 17<br />

(price includes admission to Vancouver <strong>2013</strong> Conference and Sunday night’s meal)<br />

• BeautySafe Certification ___ x C$185.00 = $_________ (taxes included)<br />

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

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

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

• Jacques-Lee Pelletier ___ x C$250.00 = $_________ (taxes included)<br />

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

<strong>SPA</strong>-SHOW.COM

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