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2021 ADEG Workshop Registration Form

Name to appear on Cert of Attendance*

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MCR No* :

GP Other (Please specify specialty)
Clinic Name* :
Address* :
Contact Phone : Clinic : Hp* : Fax :
Email* :
Payment by* :
Bank Name* :

PayNow to UEN ID 200613538E (AESTHETIC DERMATOLOGY EDUCATIONAL GROUP)  

 
I wish to register for the following workshop (pls tick)* :
24.10.21 : 8.30am - 12.30pm : Botulinum Toxin A (CLOSED)
24.10.21 : 1.30pm - 5.30pm : Dermal Fillers (CLOSED)
28.11.21 : 8.30am - 12.30pm : Pg Laser (CLOSED)
28.11.21 : 1.30pm - 5.30pm : IPL (CLOSED)
23.01.22 : 8.30am - 12.30pm : Pigment Lasers
23.01.22 : 1.30pm - 5.30pm : Intense Pulsed Light
To be announced : 8:30 am - 12.30pm : Body Contouring (CLOSED)
To be announced : 8.30am - 12.30pm : Lasers and IPL Hair Removal (CLOSED)
To be announced : 8.30am - 12.30pm : Ablative Lasers (CLOSED)
To be announced : 8.30am - 12.30pm : Laser and IPL for Vascular Disorders (CLOSED)
To be announced : 1.30pm - 5.30pm : Fractional Lasers (CLOSED)
To be announced : 1.30pm - 5.30pm : Chemical Peels (CLOSED)
To be announced : 1.30pm - 5.30pm : Non surgical skin tightening (CLOSED)
To be announced : 1.30pm : Hair Removal (PM) (CLOSED)
 
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