Registration Form-Online Training

Rejuvee^™ Institute in the Continuing Education

Printed name exactly as you would like it to read on your certificate.

Your're First Name (required)

Your Last Name (required)

Credentials (required)

Your Email (required)

City: (required)

State: (required)

Zip Code:(required)

Licence #(required)

Phone:(required)

ON -LINE COURSES/TRAINING
TRAINING IN LANGUAGE: ENGLISH
WORKBOOK, BROCHURES IN LANGUAGE: ENGLISH

I'm registered for the following online training(required)

Target Audience:
Online training is created for students who possess certificates of cosmetology, esthetics, RN's and other medical professionals, and for select courses massage therapist.

I hereby authorize Rejuvee™ to charge my credit card.

Cardholders (required)

City,State,Zip Code(required)

The amount for professional On-Line training I will pay in full amount. I further affirm that the name and personal information provided on this form are true and correct.
I further declare that I have read, understand, and accept Rejuvee™ business terms published on their website and as stated in their brochure.
Students receive a certificate of completion for the training on a particular machine and get the right to work on it.

CANCELLATION POLICY

We are not accepting cancellation for on line training.
If you pay from Pay Pal you do not need filet out credit cards information.
Bat you accept:
"I accept that I have no right to refund money. I got the book over the internet and allowed me access to training tests. These I confirm that I voluntarily make a payment via PayPal."
I further, declare that I have read, understood and accepted Rejuvee™ business terms.
To register, please complete this form and email with your copy of your Professional license.

Date of Applications:(required)

Student Signature: (required)

Promo Code

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