Seminar Registration Form (MODELS)

Model Additional Information:

  • Models are required to pay deposit in order to guarantee appointment time.  If deposit is not paid, model will not receive an appointment time.
  • All deposits are used towards the cost of the product used during model's procedure. 
  • Refunds of deposit will be given, less the model processing fee, if 24-hour notice is given. 
  • If less than a 24-hour notice of cancellation is given, no refund will be given.
  • Please note, beginning April 1st, the cost of BOTOX®will increase to $7 a unit.
Seminar Type:
Seminar Date:
Seminar City:
First Name:*
Last Name:*
Date of Birth (m/d/y):* / /
Address:*
City:*
State:*
Other Province: (If Non-US)
Zip:*
Country: (If Non-US)
Phone:*
E-mail Address:*
How did you hear about AMET?*
Notes/Comments:
Model Fees
Model Processing Fee  
$5.00  
 
TOTAL: $


To add additional procedures for this seminar, select Continue Shopping after submitting this form to the shopping cart.