Class Registration

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First Name

Last Name

Email

code

Phone

How many will attend ?

How will you attend?

Address

Birthday

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Deposit for classes - $500.00

Trichology Certification - $4000.00

Thanks for registering to our event. See you there!

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Address : 616 Red Lane Rd D3 Birmingham, Alabama 35215

Telephone:

205 578 2334 /

205 503-9916

Email:

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