PowerUP 2020 Registration Form

First Name:

Last Name:

Salon Name:

Best Email:

Salon Phone Number:

Mobile Phone Number:

Number of Tickets Required:

Additional Attendees Name/s:

Coupon Code:

Please tell us how your heard about PowerUP:

Please check here if you are a member of NZARH:

Payment: Thank you for registering for PowerUP. We will contact you via phone to complete the transaction.

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