Cosmoprof North America Badge Registration Form

PBA MEMBERS* RECEIVE 50% OFF ISSE TICKETS!
*Membership must be current at the time of ticket purchase

Current business members of PBA may purchase a maximum of three (3) discounted tickets.

Current individual members of PBA may purchase a maximum of one (1) discounted ticket.

Register with your member number at http://probeauty.org/isselb/ or call 866.229.2386 (301.694.5243) to register
by phone.

Non-exhibiting, non-member manufacturers, manufacturer representatives and distributors ARE NOT ELIGIBLE
TO ATTEND THIS SHOW.

Want to become a member? Call Member Services at 800.468.2274 (Ext. 3460) or 480.455.3460 or go online to
http://probeauty.org/membership/.
SHOW POLICIES

ISSE Long Beach is open to licensed beauty professionals, cosmetology students and instructors only. All
attendees are required to show proof of credential and photo ID before entering. Visit http://probeauty.org/isselb/ for
a list of accepted credentials.

No children under the age of 16 (including infants) will be permitted on the show floor or in education classrooms.

No strollers, carts or bags with wheels of any kind will be permitted on the show floor. Complimentary bag check is
available.

PBA reserves the right to refuse admittance without refund to any registrant it deems inappropriate.
REGISTRATION INSTRUCTIONS

A $10 processing fee will apply for all phone, fax and mail registrations. This fee is waived for PBA members.

ONLY ONE PERSON MAY REGISTER PER FORM. Please copy this form for each additional attendee.

Please complete all information and print clearly to ensure accurate processing. Illegible forms will not be
processed.

Mail form and payment to: (Credit Card or Check Orders)
ISSE/PBA
15825 N. 71st Street, Suite 100
Scottsdale, AZ 85254

Fax form to: 301.694.5124 (Credit Card Orders only)

Direct registration questions to: 866.229.2386 (301.694.5243)
DEADLINES & DETAILS

Registrations sent by mail and/or fax must include full payment and be received by Friday, January 16, 2015.

Forms received after Friday, January 16, 2015 will not be processed.
EDUCATION

Visit http://probeauty.org/education/isselb/ for a complete list of education classes

Complimentary classes are included with your expo ticket, do not require registration unless specifically noted and
are seated on a first-come, first-served basis.

Paid education classes have limited availability; register early to secure your seat.
January 24 – 26, 2015
Long Beach Convention Center • Long Beach, CA
DEADLINE TO REGISTER BY MAIL/FAX: JANUARY 16
*Required Fields
*First Name:
*Last Name:
*Company Name:
*Address:
*City:
*State:
*Phone:
*ZIP/Postal Code:
*Country:
PBA MEMBER #:
*Email:
EXPO TICKETS (First Price Member*/Second Price Non-Member)
15/$30
-DAY $30/$60 (choose your day below)
-DAY $38/$75 (choose your days below)
/Sun
-DAY $45/$90
/Mon
*Membership must be current at time of purchase
Business members may purchase a maximum of three (3) discounted expo tickets
Individual members may purchase a maximum of one (1) discounted expo ticket.
EDUCATION (First Price Member/Second Price Non-Member)
Stage
Presentations
Hands-On Nail
1 $50/$60
2 $40/$60
Demonstration
01 $65/$85
02 $40/$60
03 $65/$85
204 $40/$60
Hands-On Hair (includes mannequin head)
100/$100
100/$100
1 $325/$375
2 $185/$235
3 $185/$235
4 $185/$235
5 $185/$235
6 $185/$235
407 $225/$250
08 $185/$235
9 $325/$375
10 $185/$235
11 $185/$235
12 $225/$250
13 $185/$235
4 $185/$235
5 $185/$235
416 $225/$250
17 $185/$235
8 $325/$375
$185/$235
20 $185/$235
21 $185/$235
$185/$235
$185/$235
Skin Care
1 $50/$100
2 $50/$100
3 $50/$100
4 $50/$100
*If you chose 407 or 416 above, please choose a kit:
(A) I-Link
(B) Kera-Link
(C) Tape-In
CHARITABLE CONTRIBUTIONS
Charitable outreach has always been important to PBA and its members. Through various charitable programs and partnerships, we seek to engage salon
professional in giving back to the industry, their communities and their clients.
DISASTER RELIEF FUND
CUT IT OUT
PBA FOUNDATION
SURVEY (Responses to survey questions are required for processing)
Which of the following best describes
your role in the beauty industry?
To which of the following industry
associations do you belong? (check all that
apply)
Spa Assn. (ISPA)
ependent Cosmetic Mfgr. & Dist. (ICMAD)
( PBA members only)
( PBA members only)
Industry Supplier ( PBA members only)
_________________
How did you hear about ISSE?
What are your main objectives for attending
ISSE? (check all that apply)
____ Purchase product(s)
____ Hair Education
____ Nail Education
____ Skin Education
____ Business Education
____ Identify products for future use
____ Learn about new trends
____ Find new product lines
____ Networking opportunities
____ Hair Competitions
____ Nail Competitions
____ Other (please specify) _____________
How much have you budgeted to spend on
the show floor (not including education)?
$0 - $100
01 - $250
- $500
$500 +
-Worker
___________
PAYMENT INFORMATION (ALL SALES ARE FINAL. NO REFUNDS.)
 Check (Payable to PBA)
 Visa
 MasterCard
 Money Order
 Discover
 AMEX
Name on Card:
Card Number:
Expiration Date:
CCID#:
Signature:
I agree to pay pursuant to the terms of my card.
Processing Fee
Expo Ticket Sub Total
Education Sub Total
Charitable Contribution Total
$ 10.00
$
$
$
GRAND TOTAL PAYMENT
$