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Please check one: MD RN DDS Other
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Courses:
Course 1 Two Day Introductory Training Course $3,500.00
Course 2 One Day Advanced Training Course $2,000.00
Course 3 Non-Surgical Face-Lift Techniques $2,500.00
Course 4 Hair Removal and Foto-Facial' $1,500.00
Please check one: October 18-19, 2008
October 20 (Non-Surgical Face-lift course)
November 22-23, 2008
February 7-8, 2009
February 9 (Non-Surgical Face-lift course)
April 18-19, 2009
June 20-21, 2009
June 22 (Non-Surgical Face-lift course)
August 22-23, 2009
October 17-18, 2009
October 19 (Non-Surgical Face-lift course)
November 21-22, 2009

To pay via phone call 1-877-754-6782 or use Online Payment Method

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Billing Information must be the same as Registration Information provided above.

We will verify your registration and the transaction will appear on your statement as: Physician Training Center

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Registration is confirmed upon receipt of VISA or MC credit card. Cancellations prior to 6 weeks of the course date will result in an 85% refund with 10% being applied to a subsequent course attendance within 6 months, and a non-refundable 5% fee for administrative costs. Cancellations within 3 weeks of the course date are non-refundable.










If you would like to register by mail use printer friendly form and send to:
Physician Training Center
Suite#4 - 122 East 3rd St.
North Vancouver, BC, Canada
V7L 1E6


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