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Event Registration

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Price:

*Attendee's First Name:

*Attendee's Last Name:

*Attendee's Email Address:

*Attendee's Phone Number:

Country:

Address Line 1:

Address Line 2:

City, State Zip:



*Course fee of $25.00 includes Study Guide	Qty	Price
Register but Pay in class (Check or Cash only)	1	-
Register and pay on-line	1	25.00
Register for class but I have my own book	1	-

Registration Total: