Win a free Botox and Dermal Filler treatment for the facial area of your choice! To sign up, enter your name, contact info, desired treatment area(s) and why you would like to receive this treatment. Name Street Address City State Zip Code Daytime Phone Number Email Address Desired Treatment Area(s) Lips    Brow    Crow's Feet    Cheekbones    Other Area:   Why Would You Like To Receive This Treatment? Advanced Laser Clinic is giving away a FREE Botox and Dermal Filler treatment worth $2500. All entries must be in by June 30, 2009. The winner will be named by July 7, 2009. Try out our new online Botox treatment visualizer and Juvederm treatment visualizer! Conditions of Use | Privacy Practices | Site Credits | © 2008