VIVA DE BEAUTY CERTIFICATION CLASS Registration Form

VIVA DE BEAUTY CERTIFICATION CLASS Registration Form
Customer Details:
Full Name*

First NameLast Name
Date of birth
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
Which class are interested in

Teeth whitening $500 1 day class (non refundable)Acrylic class $650 2 day class (non refundable)Gel x course $500 (non refundable)NAIL TECH WORKSHOP ($700)NAIL TECH WORKSHOP TEEN EDITION $600 (non refundable)
How did you hear about us?*
What date would you like to attend the teeth whitening class?

Sunday March 2, 2014 (1pm-6pm )Saturday Feb 10th (10am-1pm)
Please Specify*
Pls read:

all classes require a deposit of $200 and the remaining is due day before/day of. Class comes with a kit and lunch provided. Class starts promptly at 10am and ends at 5pm Saturday and Sunday. The teeth whitening class is a one day class
How would you like to pay your $200 deposit? Non refundable

Zelle (8178349703) Viva de beautyCashapp $vivadebeauty
How would you like to pay remaining balance? (Non refundable)

Cashapp ($vivadebeauty)Zelle (8178349703) Viva de BeautyCash day of (remaining balance)
what date would you like to attend: (you may change the date 1 time as a convenience, if seats are available (deposit must be paid to hold your seat)

October 26 & 27
Should be Empty: