NC CEU-E'Lader Cosmetics Corp

Mail-in Registration Form

This form is for the registration of the State Board of North Carolina, Cosmetic Art Dept., approved continuing education courses: "The Science of Skin and Skin Care Products - PART I, II, & III. (Part IV-Coming Soon!)

One Pre-Registration form per attendant

Term & Conditions: Registration must be received at least 5 business days prior to date of class, registration is incomplete until payment is received. To ensure admission, submit your payment on-line or by mail in a timely manner. If mail-in payment is not received before the day of class, you must pay at the door in order to be admitted, no exceptions. All following mail-in payments will be returned to the address on registration form within 3 business days of receipt, unless further instructions are given, by you, via U. S. Mail or email, redeialb@yahoo.com.

Cancellation notice must be received, via email , redeialb@yahoo.com , at least 5 business days before the class begins in order to receive a full refund. Your payment will be returned to the address on the registration form, within 3 business days of your email cancellation notice. No refund will be issued after cancellation period stated above.

Please print this form and mail it with your payment, keep a copy for your record; however, it will not serve as proof of registration or payment. Once this form along with payment is accepted, you will receive an expressed email receipt and confirmation of your course reservation, by U.S. mail if no email address is listed below.

Please mail only cashiers checks or money orders. Make payable to: E'Lader Cosmetic Corp. Mail Payment to: P. O. Box 621442, Charlotte, NC 28262, c/o Redeial Barbour

First Name: _____________________________________________________________

Last Name: _____________________________________________________________

Telephone#:______________________________________________________________

Return Address: __________________________________________________________

Email Address: __________________________________________________________

License#:_______________________Active?_________Inactive?________

Salon Name/Address: __________________________________________________________

Part I, Course # 10-1475-1 Date______________

Part II, Course # 10-1475-2 Date______________

Part III, Course # 10-1475-3 Date______________

Location of Course: Charlotte?________Durham?________

Comments: __________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________

We invite you to encourage other licensed cosmotologist, esthetician, and teachers to join us. Seats are limited, Act now!

Thank you for your interest in our exciting series; and we look forward to meeting you soon!.

Redeial Barbour, Instructor 704-451-7135

E’Lader Cosmetics Corp.