Forum 2010

Public Forum

On-line Registration Form

To reserve your place in this interactive public forum, please complete and submit the registration form below. All details will be used only for registration purposes. For general information and details on this interactive public forum, please click here.

*Full Name*:
*Gender*:


*NRIC/FIN No.*:
*Email*:
*Contact No.*:
*Preferred Topic:







*Preferred Goodie Bag:




*Payment Details*:

Credit Card
Cheque
Cash


Card No.: CVV Code:
Expiry (MMYY):
Amount: SGD
No. of people : Bank Name:
Cheque No.:
Amount: SGD
No. of people :
Make cheques payable to 'Clearskin Centre Pte Ltd'. Please proceed to make cash payments at any of our branches which are listed under 'Locate Us' in the bottom right of this page.

*Terms & Conditions:

• Seats and goodie bags will be reserved only for those who have made full payment.

• Cash must be paid at any of our branches before reservation of seats can be confirmed.

• No guarantee that the preferred goodie bags will be available, although allocation will be on first-come-first-serve basis and while stock last.

• Management reserves the right to change the time / place of the venue or even cancel the event without giving a reason.

• If the event is cancelled, all payments will be refunded in full.
*Declaration*:

By submitting this form, I agree to the above terms and conditions and hereby certify that all the above information provided is accurate and valid to my knowledge. (Please tick)

*Denotes compulsory field
*Compulsory

© ClearSK Group of Aesthetic Centres. 2009 All Rights Reserved.