Seminar Registration Form
Electrolysis Society of Florida, Inc.
September 12-13, 2008 

Early Registration prior to August 24, 2008

______ESF & EAF Members- $130 meeting
______Non-members- $230 meeting
______Board Member

Late Registration after August 24, 2008

______ESF & EAF Members - $145 meeting
______Non-Members - $245 meeting

**If you are a member of EAF you must include a copy of your membership card or cancelled check.There will be no adjustments at the door or after the seminar. No exceptions.  

Includes Breakfast and Lunch buffet

          Guest Breakfast- $20         Number of guests_______

          Guest Lunch- $20              Number of guests_______

Notice

• You will not get credit for any lecture you miss. Only those who paid for the seminar may attend. Major discussions and questions regarding the future of electrolysis will take place on Friday night. Discussion or questions will not be answered or repeated during the Saturday seminar.

Please Print Clearly

Name______________________________Phone_________________________
Address__________________________________________________________
City_________________________State____________ZipCode_____________
Email Address_____________________________________________________
License #_________________
Amount of Check  $______________ Check #_______
We do not accept credit cards

No refunds if less than seven (7) days prior to the meeting - no exceptions.

I acknowledge and understand all of the rules and costs associated with this meeting.

Signature                   ________________Date__________________

Please make all checks payable to the ESF and mail to:

Alissa Scott, LE, CME
318 N W Bethany Drive
Port St. Lucie, Fl 34986
772-807-4551 (phone)
772-807-4553 (fax)

If you are interested in becoming a member of ESF, please contact:

Please update any changes of address with the state.

For additional ESF information please visit our website at www.hairremovalflorida.com

ESF ©2008