Turkle & Associates - Girls Night Out

Reservation deadline 5 p.m. Friday, September 10, 2010

Reservations - One person per registration form

An individual reservation form must be completed for each person who wishes to attend.
You may not register multiple guests on one form.

Please provide the following contact information:
(All Fields are required)

First Name
Last Name

Street Address
Address (cont.)
City
State
Zip/Postal Code


E-mail
Confirm Email

Please indicate the breakout sessions you plan to attend:
	2:30 p.m. “Varicose Veins: Common Questions, Newer Strategies” – Phlebologist Dr. Jeffery Schoonover
	5:00 p.m. “Varicose Veins: Common Questions, Newer Strategies” – Phlebologist Dr. Jeffery Schoonover
	5:30 p.m. “It Is Possible to See Your Best While Looking Your Best” – Ophthalmologist Dr. Bill Whitson
	6:30 p.m. “You Can Have Beautiful Skin” – Phases Skin Care and Laser Center Aesthetician Susan Barnes
	7:00 p.m. “Look as Good as You Feel – Surgical and Non-Surgical Solutions” - Cosmetic Surgeon Dr. Jan Turkle
	7:30 p.m. “Health, Confidence and Success…It Is All in Your Smile” - Smile Design by Accredited Cosmetic Dentist Dr. George E. Kirtley


Your Age:	< 21	21-30	31-40	41-50	51-60	61-70	70 +

Your Gender:	Female	Male

How did you hear about Girls' Night Out?
(Check All That Apply)

Friend/Family Member

Turkle & Associates E-Newsletter

Turkle & Associates Web site

Girls' Night Out Web site

After40 Magazine

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Poster - please enter location

Magazine - please enter name

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Would you like to receive our e-newsletter and invitations to other events?
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Turkle & Associates :: Three Penn Mark - 11455 N. Meridian St., Suite #150, Indianapolis, IN 46032 :: 317-848-0001 or 877-848-0001

Indianapolis plastic surgeon Janet K. Turkle is renowned for her results and offers numerous plastic surgery procedures to patients in Indianapolis and nearby areas.

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