* 1. Full Name

* 2. What is your street address?

* 3. Telephone Number: (and the best time to call)

* 4. What are your email addresses?

* 5. Do you have a valid cosmetology, esthetician, trichology or business license?

* 6. Do you have any wig making experience? If yes, please explain.

* 7. Do you wear corrected vision glasses or contact lenses?

* 8. Do you suffer from carpal tunnel or any nerve damage?

* 9. What are your plans after taking this class?

* 10. Select Seminar Type

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