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PRINT A CUSTOMER REGISTRATION FORM

Dear First Time CorLase, Inc. Clients,
Please, print then fill out a customer registration form here before you come to my office for your first treatment.

Also, for all new clients please print and fill out this registration form before your first appointment.

 
DANA BEGLEY COMBOPIANO - Medical Cosmetic Therapist, Managing Esthetician, Certified Laser Specialist
Copyright © 2003-2008 by CorLase Permanent Hair Removal, Inc.  -  All Rights Reserved.
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