ONLINE APPLICATION FOR AIRMAKEUP.COM WORKSHOPS

Name: __________________________________

Address: _________________________________________________

City: ________________________ State: _________ Zip: __________

Phone: ___________________________________

Cell Phone: _______________________________

E-mail: __________________________________

Yes, I would like to attend the workshop on ___/___/___(date)

Location: ___________(City)/___________(State)

Please check the box of the class you are signing up for:

Basic Airmakeup® Techniques for Beginner Training PLUS Airmakeovers® & Airmakeup™ Stencil Technique - $499.00 - Price for NJ Only (Kit with Class) Please call an Airmakeup® consultant for prices in your state.
Advance Airmakeup® Techniques - $1,499.00 ( a limited time offer $699.00 - Offer Ends May 1st 2004 )

I have chosen the selected date and I understand the course fee with kit is $________.

I would like to purchase the airbrush makeup kit only (No Class) for $299.00

This course will be held from 10:00 a.m. to 6:00 p.m. with a break.
I understand that the workshop will be confirmed by the instructor prior to the workshop date.

There is a $50.00 non-refundable deposit requirement to be paid by money order or credit card.
I also understand that the remaining balance must be paid prior to the workshop date.
Make money orders payable and mail to: Airmakeup Inc.   P.O. Box 3414 Margate, NJ. 08402

Once your application has been received with a $50.00 non-refundable deposit a receipt will be mailed to you.

Indicate which card MC or VISA #____________________________
Expiration_______

Please fax to: 609-823-2441

Website: www.airmakeup.com E-mail: inquire@airmakeup.com

Airmakeup P.O. Box 3414 Margate, NJ. 08402  Phone: 1-609-822-6AIR  •  Fax: 1-609-823-2441
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