Registration form Service training session 2013

Return to Fax-Number: +49 3641 7700402 Mr. Wegewitz

(Dead line for registration two weeks prior start of training)

Current laser products:

Standard laser models: Q-Switch laser models & surgery: Cosmetic models:

MCL30
TattooStar R
Raylife

MCL31
TattooStar R Effect
Raylife SE

Dermablate Effect
TattooStar Y
The Face Lab

QuadroStar +
TattooStar Y Effect
Bodylab

Multipulse
TattooStar Combo
Pharmonia

MedioStar XT
MultiPulse Holmium


MedioStar Effect
MultiPulse Thulium

MedioStar NeXT

Registration: by mark for what laser model due to main issues service training session
Pls. note that a certain schedule which laser models are included is depending on number of
participants minimum three per laser model!

discounted products: remark on request the brand name of laser model: _______________

Period of stay: from ___________ to ____________

(Due to Invitation letter)

Participants: I. II. III.

(Full fill in big letters)

Family name

First name

Place and time of arrival

Place and time of departure

Experiences in laser
technologies? (Which?)

Distributor: ____________________ Country: ____________

Phone number: ______________

Fax number: ______________

E-mail-adress: ______________

Date / Signature: _____________