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USE THIS PAGE TO ELECTRONICALLY REGISTER FOR SEMINARS.

Credit Card Payments accepted below.
Checks are made to Radiant Aesthetic Solutions and mailed to: 174 W Carmel Drive, Carmel, IN 46032.
You may also print out, complete this form, and mail to the address above or call to (844) 455-8900.
Electronic Registration form - all Seminars (use the separate form for Online Training).
Once you have registered you will receive an email confirmation within about 24 hours.
Name*
Address where certificate will be mailed.*
Where certificate will be mailed.*
Email*
Confirmation, and any course materials will be sent electronically via email to this address, in addition to any course status updates. Watch for emails from "Hightail" in your Spam folder.
Must include area code and phone number for U.S. numbers. Use format 5554441212. No spaces, hyphens or dots.
Select Training Courses*
Choose the correct course. If prepaid discounts and/or bonuses are provided, that will be reflected on your invoice or actual credit card change. PLUS-type in the course date & city below for clarification.
List of Dates & Locations
Add a copy of the current ANSI 136.3 Standards? (Provided at course)*
THESE ARE OPTIONAL $155 (American National Standards Institute-Z136.3 Safe Use of Lasers in Health Care Facilities) Only 1 set is required per facility, not per person. Primarily for LSO courses.
Do you plan on taking the NCLC Laser Certification Exam offered at this course? (No additional fee)*
You MUST request the Certification exam either at the time of registration, or no later than one week prior to the course, in order to have an exam available for you to take. NOTE: Call us if you want to take more than one type of exam.
All discounts will be applied before final processing of your payment.
Payment Method*
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Credit Card*
American Express
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MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 
Do you agree to the refund policy?*

By placing this order and clicking the SUBMIT button below, you acknowledge that you have read the Refund Policy and agree with its terms.

Privacy Policy

After you SUBMIT your order, we will follow up within 24 hours after we've processed your registration. All registrations are manually processed by our staff.

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