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Name:
_________________________________________________________
Date:_______________________
Address:____________________________________________________________________________________
City:
___________________________________________
State:_________________ ZIP:
______________
Phone
(Day): ( _____ )______________________
Phone
(Evening): ( _____ )
_________________________
E-Mail
Address: _____________________________________
@ _____________________________________
(Check
One) [_] Paying by Check
(Make payable to CLASS)
[_] Please Charge my Credit
Card
Card
Type: ________________________
Card #
________________________________________________
3-digit
security code (back of card, signature strip)
________
Exp.
Date: _________ Name on Card:
________________________
Signature:
___________________________
If
you prefer, credit card registrations may be placed
by phone at (800) 433-6633
or by FAX at (505) 899-9282.
--------------------------------------
I
will attend:
[_]
April
14-16, 2008 - Henderson, NV
[_]
November
10-12, 2008 - Nashville,
TN
--------------------------------------
Amount
Enclosed (Please check the appropriate box
below):
Professional Track:
[_] Regular Registration: $575
Certification
Fee:
[_] $150
Presentation
preference:
[_] Monday evening [_] Tuesday
Evening
Alumni
[_] Price to be determined (must be
paid at least one week in advance.)
Cancellation
Policy: Cancellations must be received in
writing 30 days in advance. Written cancellations
received before the 30 day deadline will be
promptly refunded, less a nontansferable $100.
Cancelations received after the 30 days will be
eligible for tansfer to another CLASSeminar but
will be subject to a $50 tansfer fee. Cancellations
received within 72 hours of the event are
nonrefundable nontransferable.
Please
print this registration form,
then mail completed form and check or money order
to:
CLASS/Personality Trainer Workshop
2201
San Pedro NE
Bldg 1 Suite 225
Albuquerque, NM
87110
or FAX credit-card registrations to (505)
899-9282
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