REGISTRATION

Global Concept 2013 Official Registration

Complete one Registration Form per attendee

Check all that Apply to you: *

USA Stylist International Stylist Educator Salon Owner Concept Salon Loyalty Salon Distributor

Name: *

Last Name: *

Email: *

Address: *

City *

State: *

Zip Code: *

Phone Number:

Confirmation Packets includes itinerary, hotel information etc. Will be sent August 2013.

Mail Confirmation Packet To: *

Home Address Salon Address

SALON INFORMATION

Salon Name: *

Salon Address: *

City: *

State: *

Zip: *

PAYMENT/REGISTRATION OPTIONS

payments are transferable/non-refundable

REGISTRATION OPTIONS (Check all that apply)

$695USD GENERAL ADMISSION $50USD VIP BREAKFAST W/JUAN JUAN $595USD CONCEPT SALON $295USD J BEVERLY HILLS EDUCATORS

Payment Plan Options

$100 per month May- September $167.00 per month June - August $250.00 per month July - August

A non-refundable deposit of $195 is required for all Payment Plans. Your credit card will be processed on the 1st of each month depending on the selected option. For all questions regarding payment plan options please email michelle@jbeverlyhills.com or call 800.980.0098

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Credit Card #:

CID#:

Expiration Date:

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Visa Mastercard American Express Check

Jay Leno Show Registration/September 11 (Optional)

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By checking I agree below you are authorizing J Beverly Hills to process your credit card payment. *

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