Registration Form

*Required fields have an asterisk (*)

* First Name:
* Last Name:
* Address:
* City:
* State:
* ZIP Code:
* Email Address:
* Phone:
Fax:

* Level of experience (Please Check one)	None Some Experience Experienced
If experienced, please explain at what level:

* Class you would like to attend (Please Check one)	Make-Up 101 Advanced Make-up

	In case of an emergency contact:
* Name:
* Telephone:
* Relationship:

Billing Information:
Deposit:
Tuition:
Total:


Questions/Comments:

Tuition Make-up 101 $300 deposit and $1,800 due 3 weeks prior to starting date. Advanced Make-up Training $500 deposit and $2,000 due 3 weeks prior to starting date. Payments can be made by personal check, money orders, or cashier checks. Please make checks, money orders or cashier checks payable to: KMR Make-up Academy Send to: KMR Make-up Academy, Inc. 550 Wave Street, Suite 6 Monterey, Ca. 93940

Billing Information: