Canadian Mesotherapy Association 2601 Matheson Blvd. E. Unit 15 Mississauga, ON L4W 5A8 T: (905) 629-8088 F: (905) 629-9022 Toll-free: 1-866-650-1777 E: [email protected] Integrative Dermatology Seminar Registration Form Natural, Non-Surgical Protocols For Licensed Healthcare Professionals for Healthier, Clear & Radiant Skin Name: _________________________________________________________________________________ Clinic Name:____________________________________ Address:: _______________________________ Telephone:_____________________________________ _______________________________________ E-mail:________________________________________ _______________________________________ Please check off the seminars you would like to attend. SKYPE Option is Available. Please check here _________ Seminar Descriptions (Seminars cover evidence, protocols, techniques/modalities like needling, Dr. Meso transdermal delivery, O2 infusion, LED & more) Price BioRevitalization* Wrinkle & deep moisturizing No Needle Meso filler treatment with Biofusion. HA plus ELASTIGEN. Rebuilds the skin’s collagen & elastin matrix. Natural filler alternative. + $95 + Incl. Product Botox Alternatives Biofusion with penta & hexapeptides. No needle infusion with Dr. Meso (Studies relate “look” enhancements to reduced depression). $95 + Incl. Product FREE for face and body + permanent hair removal Pigmentation* & Whitening/Toning Protocols $95 + Incl. Product Thread Lifting Introduction & Options* New technique for lax skin & cellulite—NEW NEW NEW $95 + Incl. Product Natural AntiAgeing & ACNE Peel with Dr. Meso Unique 4 step fully customizable peel (acne, rejuvenation, wrinkles) $195 + Incl. Product Advancements in Pain Management Natural ingredients, anti-inflammatories; techniques with Dr. Meso infusion & Dr. Meso LLLT Alopecia with BioFusion Hair $95 + Incl. Product & Dr. Meso to stimulate & strengthen hair growth — Dr. Meso, needling, oxygen infusion (choose Friday or Sunday) October 10th (Friday) 11 October 14th (Tuesday) 11 October17th (Friday) 11 am—2 pm th (Sunday) 11 am—2 pm October19 th E-Light — New IPL with RF synergistic treatment Options with BioFusion, Dr. Meso & MayStar Date & Time++ $95 + Incl. Product October24 (Friday) 11 October 31 (Sunday) 11 st (Friday) 11 nd am—2 pm am—2 pm th October26 am—2 pm am—2 pm am—2 pm November 2 November 7th am—2 pm (Friday) 11 am—2 pm November 9th (Sunday) 11 November 14 (Sunday) 11 th November 16th am—2 pm (Friday) 11 am—2 pm (Sunday) 11 am—2 pm November 21st (Friday) 11 am—2 pm November 23rd (Sunday) 11 am—2 pm November 28th (Friday) 11 am—2 pm November 30th (Sunday) 11 am—2 pm 4th Seminar is free….. HST (13%) Continuing Education Credits pending Indicate form of payment ____VISA ____MC ______PAYPAL _____CASH/DEBIT** ** Seminar place must be confirmed and secured by valid Credit card or Paypal TOTAL Card. No. ____________________________________________________________ Expiration__________________ CV no. ___________ Cardholder Signature____________________________________________________ Date:__________________________ Thank you ….we look forward to your participation! Please email/fax seminar registration form to ensure your place...no same day registrations accepted. ++ Seminars will proceed with 5 or more confirmed attendees. www.mesotherapytraining.ca Canadian Mesotherapy Association 2601 Matheson Blvd. E. Unit 15 Mississauga, ON L4W 5A8 T: (905) 629-8088 F: (905) 629-9022 Toll-free: 1-866-650-1777 E: [email protected] Integrative Dermatology Seminar Registration Form Natural, Non-invasive Protocols For Licensed Healthcare Professionals for Healthier, Clear & Radiant Skin Name: ___________________________________________________________________________ Clinic Name:____________________________________ Address:: _______________________________ Telephone:_____________________________________ _______________________________________ E-mail:________________________________________ _______________________________________ Please check off the seminars you would like to attend: SKYPE Option is Available. Please check here _________ Seminar Descriptions (Seminars cover evidence, protocols, techniques/modalities like needling, Dr. Meso transdermal delivery, O2 infusion, LED & more.) Price Advancements in Pain Management Natural ingredients, anti-inflammatories; techniques with Dr. Meso infusion & Dr. Meso LLLT + $95 + Incl. Product Needle alternative infusion techniques (needling, Dr. Meso, O2 infusion, LED & more) $95 + Incl. Product FREE for face and body + permanent hair removal (fibromyalgia) Sensitive Skin & Rosacea Protocols $95 + Incl. Product Essentials of DETOX:Your Skin reflects purity. Links between Dermatology & Digestive Disorders. Detox, Detox $95 + Incl. Product Natural Antibiotics & anti-inflammatories Sources, studies, enhanced delivery, protocols and uses. $95 + Incl. Product Naturopathic Dermatology for your Practice Options, pricing, marketing and budget. $95 + Incl. Product Acne, Oily Skin and Acne Scars with Dr. Meso Proven, Effective & Safe Protocols….(get your patients off ProAct*&^!) (choose Friday or Sunday) December 5th (Friday) 11 am—2 pm December 7th (Sunday) 11 am—2 pm December 12th(Friday) 11 am—2 pm December 14th(Sunday) 11 am—2 pm January 9th(Friday) 11 am—2 pm E-Light — New Intense Pulsed Light with RF synergy Options with BioFusion, Dr. Meso & MayStar Date & Time++ $95 + Incl. Product January 11th(Sunday) 11 am—2 pm January 16th (Friday) 11 am—2 pm January 18th (Sunday) 11 am—2 pm January 23rd (Friday) 11 am—2 pm th January 25 (Sunday) 11 am—2 pm January 30th (Friday) 11 am—2 pm February 1st (Sunday) 11 am—2 pm February 6th (Friday) 11 am—2 pm February 8th (Sunday) 11 am—2 pm February 20th (Friday) 11 am—2 pm February 22nd (Sunday) 11 am—2 pm 4th Seminar is free….. HST (13%) Continuing Education Credits pending Indicate form of payment ____VISA ____MC ______PAYPAL _____CASH/DEBIT** ** Seminar place must be confirmed and secured by valid Credit card. TOTAL Card. No. ____________________________________________________________ Expiration__________________ CV no. ___________ Cardholder Signature____________________________________________________ Date:__________________________ Thank you ….we look forward to your participation! Please email/fax seminar registration form to ensure your place...no same day registrations accepted. ++ Seminars will proceed with 5 or more confirmed attendees. www.mesotherapytraining.ca
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