COSMETIC TATTOOING BY TUDUYEN - Tuduyen Neville - ABN 94 650 233 833

Li-FT® Saline Pigment Lightening & Removal Training

APPLICATION & INTAKE FORM

Name

First Name

Last Name

Preferred name on certification (if different)

Date of birth

(Your online course content will be delivered here)

Phone contact

Business name (if applicable)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Postal address

Write "same" if as above

TRAINING OPTION - please select

PLEASE NOTE UNTIL FURTHER NOTICE: All Hands-on classes are currently run to privately selected dates and locations as discussed from expressions of interest

Social media handle for IG/FB (if applicable)

Length of time in PMU/machine experience and modes of practice

Your tattoo machine(s) make/model (if applicable)

PAYMENT DETAILS & CONDITIONS

$800.00 Non refundable Course Activation fee to immediately validate Teryn Darling's Online course and reserve class/date placement

Bank transfer to Tuduyen Neville (NAB) BSB 083004 Account 420868789 (Your name as Reference) or:

Please invoice me for credit/debit payment - I accept the 2.2% surcharge recovery fee applicable

I understand payment BALANCE is due 5 days prior to practical class day or;

I have transferred (Direct Deposit) class price IN FULL

Please note:

Upon Deposit (or elective full payment) clearance, you will be uploaded to the Online Course within 24-48 hours. The email will come directly from the Girlz Ink Training Academy so please check your Junk mail box if necessary. Questions/comments/requests: