Daniele Henkel Seminar Registration Form
Pre-Register to receive free admission to the show. Please note this is a "trade only" seminar and only those who qualify will receive admittance.
Contact Name*
Company*
Street Address*
Province/State*
Postal/Zip*
Telephone*
Email Address*
Please describe your company's products and/or services.*
What is your position with this company?*
What methods do you currently use for treating cellulite?*
Please choose the Endermologie seminar you wish to attend:*
Friday, October 19 ~ 5pm
Sunday, October 21 ~ 1pm
Thank you for taking the time to fill out this Registration Form. A complimentary admission ticket will be sent to you by mail. Please enter any comments or suggestions here.
* Indicates field is required.