Complete the following secure form and submit to register for a seminar.
Your investment includes pre-session material sent approximately 2 weeks
before the seminar date, classroom instruction, a multi-page study guide
for home study and review, Certificate of Attendance, and a tutorial
lunch, dinner, or Afternoon Tea.
Space is limited, please register early.
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Seminar * |
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If
for Youth/Teen seminars, please enter the
following:
Age:
Gender: Male
Female
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Email
Address *
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Registrant's
Honorific* |
Mr.
Ms
Miss |
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Registrant's
Full Name* (as it is to appear on all class materials) |
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| Food Restrictions |
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Remitting Person's
Honorific* |
Mr.
Ms
Miss |
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Full Name as it appears on the credit card * |
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Address
*
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City
*
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State
*
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Zip
*
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Credit
Card Type *
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Credit
Card Number *
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Credit
Card Expiration *
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Phone
Number *
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Fax
Number
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How
did you hear about us?
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Comments
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* Denotes required field.
PLEASE NOTE: The course fee will be charged
to the above credit card upon submittal of
this form.
If
you have any questions, please call 415-346-3665 or 800-276-7419
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