Registration for Hands-On Workshop
Our Workshops are for only licensed Stylists or Salon Owners.
STEP 1 - Your Professional Status
1 -
Call my salon to verify my professional status ... Phone>
2 -
I will send you a copy of my license.
3 -
I am on your mailing list. My ID #>
STEP 2 - I heard about you from
1 -
A mailing I received ... showing Code #>
2 -
Searching the Internet
3 -
Other
STEP 3 - Information about you and what services you are offering or want to offer.
Job Description
(select one)		 Hair Stylist or Salon Owner
Cosmetology School Owner or Cosmetology Instructor
Cosmetology Student
Other (describe below)
Yes I am
doing Extensions.
Methods used >>
No I am doing Extensions.
STEP 4 - Registration Information.
Daytime Telephone
Email
Your Name
Address Line 1
Address Line 2
City
State
Zip
This is>>
 My home address My work address
I would like to register for the following class.
2-Day Workshop = $400.00 with a $200.00 Deposit
2-Day Workshop on September 21-22 October 19-20 November 9-10
4-Day Workshop on November 9-12
Step 5 - Payment Options
Payment By (select one)
2-Day Workshop = $400.00 with a $200.00 Deposit
4-Day Workshop = $800.00 with a $400.00 Deposit
Credit Card - Information below.
Credit Card - You have my information on file.
Credit Card - I'll fax you my card information. (On next page is our Fax #.)
Credit Card - I'll call you with my card information. (On the next page is our phone #.)
Money Order - I'll mail it to you. (On the next page is our address.)
Check - I'll mail it to you. (On the next page is our address.)
Credit Card Information
We accept American Express, Visa, MasterCard and Discover Card.
Number: Exp.: Date
Name on Card: Mine Different (complete information below)
If Different Name on Card type ... Name, Address and Phone for Card Holder
We welcome your comments, questions and suggestions!

Click - on the Submit Button — and you have registered for a Hands-on Workshop.
WARNING: If you click here ALL the information, including your name, address, etc. will be deleted. If you simply want to change a few items you checked, go back up to the area where you want to make the changes and just change that information instead of starting all over.

THANK YOU!

Garland Drake Website - All Sections
GARLAND DRAKE INTERNATIONAL
1001 West 17th Street, Suite S
Costa Mesa, California 92627-4512 USA
Email to Charlotte@GarlandDrake.com
Email to Raymond@GarlandDrake.com
www.GarlandDrake.com

Telephone: 1·800·426·9197 - or - 1·949·722·2277
Fax: 1·888·801·8530 - or - 1·949·722·2270
In Office Hours
Weekdays 8:00 AM to 4:00 PM (Pacific Time)

Since 1990
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