mequon thiensville school of esthetics

Committed to enriching your life by providing a solid skin care
program with the most updated materials and equipment!

Center for Advanced Esthetic Training

Advanced Training Registration Form

Personal Information

Name: _______________________ Address:_____________________

City:____________________________ State:______________ Zip:_______

Phone: ______________________ Fax:_______________________

____ Session 1 ____ Session 2 ____ Session 3

To hold your place in class, a non-refundable deposit of $150.00 is due ten days prior to the session date.
Please, no checks on first day of class. Master Card, Visa, or cash welcome.

____Check enclosed (Please make check payable to: Mequon Thiensville School of Esthetics)
_____ Charge my credit card

 MasterCard/Visa #:________________________ Expiration date:____________             

 Name of cardholder:________________________ Zip code of card address:_____

Please complete form and mail to: Mequon Thiensville School of Esthetics,
214 Green Bay Road, Thiensville, WI 53092