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Dixon Technique Application Form

Dixon Technique Hands-On 2 Day Intensive Workshop

What Date do you want to come?
Date MM / DD / YYYY
Your email
Your Phone ### - ### - ####
Your Name for Certificate First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What I especially want to learn is:
Dr. Dixon's Quick Lips Technique Dr. Dixon's Smudgy Eyeliner When and how to do corrections Brow Graduated Hairstrokes Scars and Camouflage Techniques
Year I was trained to do permanent makeup
I was trained by the following instructors or classes:
I agree to the following by checking each box: *
I am Cosmetic Tattoo Professional I understand fees for this event are non-refundable I hold harmless and personally indemnify any instructors from any adverse events related to this educational event to which I may have contributed or I understand photographs, videos or other media may be used at this event and release the use of such media for any purpose without compensation to me
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By Checking this box I agree to and understand the terms, statements and conditions of applying for this class.
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$925 Hands-On 2 Day Workshop plus Friday evening Dinner. Save $100 if register 30 days before workshop. 888/664-9990 $ Dollars . Cents
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