Online Registration Form - ESP Salon Sales

Name*

First Last

Salon Name

Shipping Address*

Street Address City Province Postal Code

Sales Consultant*

Select Unknown if you do not know who your Sales Consultant is, or if you do not have one

Account Number

Work Phone

Cell Phone*

Email*

Enter Email Confirm Email

Class Name*

Date of Class*

HOTHEADS CLASSES ONLY: Do you require a mannequin for an ADDITIONAL $135? All other classes please select NO.*

Yes, please add to my total and ship me a mannequin
No, I have my own I will use for this class

Hands-on classes require a mannequin approx 18" long, live models are not to be used for Hotheads Classes

EAR PIERCING CLASSES ONLY: Do you require ear and/ or nose instrument for an ADDITIONAL $18 each? Check all that apply. All other classes please select NO.*

Please add the ear instrument to my fee for $18
Please add the nose instrument to my fee for $18
I already own both instruments
NO. This class is not applicable to me

Instruments are not included in class fee. All other materials will be sent to you direct from Inverness

Number of Registrantants

Names of attendees

First	Last

click the + button to add more names

Location of Class*

PLEASE SELECT VIRTUAL CLASS FOR ALL ONLINE CLASSES

Payment Method*

Account
Credit Card

Credit Card Number

CCV Number

Expiry Date

Business Driver Member*

Yes
No

Confirmation*

I have read and agree with the terms of this registration (below).

All classes will be charged in full upon registration. It is your responsibility to ensure you attend the live class as posted, no refunds will be given if you fail to attend the class. Class registration deadlines are two weeks prior to the date of the class. If a class is cancelled by ESP Salon Sales those registered will be refunded. If the registration form is not filled completely the registration will be void.

Signature

Name

This field is for validation purposes and should be left unchanged.

Name

This field is for validation purposes and should be left unchanged.