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Registration Form

Early Bird Registrants will receive a
 $50.00 Registration Bonus

To Qualify for the Early Bird Bonus you must have your Registration form and payment post marked, E-mailed or Faxed Prior to 5 PM, Monday March 31, 2006

Please complete this form and send it to
Doug Schmitt Seminars as soon as possible.
 

Tuition and Deposit Information:

Seating is on a first come first served basis and is limited. Upon receipt of your registration and payment we will issue you a confirmation notice. Course tuition must be paid in full before the course begins. Doug Schmitt Seminars reserves the right to cancel a class if less than 40 students have registered prior to 24 hours from the start date. Should the provider cancel the class, the students are entitled to a full refund.

Please fill in the information fields below and click submit. If you like you can print this page and mail,
or fax it together with your payment to Doug Schmitt Seminars – 803-781-5095 Fax
– or 116 Averill Lane Irmo, SC 29063. E-mail
mail@dougtrains.com

 

Last Name:

First Name:

MI:

Company Name:

Address:

City:

State:

Zip:

Home Phone:

Business Phone:

Fax:

E-mail:

Class Start Date
mm/dd/yy

The Achievers Academy $445 Early Bird Special 

The Achievers Academy $495

Method of payment (select one):

Visa Card

Master Card

Sending Check by Mail

Credit Card Number:

Expiration Date:

Click on the "Submit Button" Above
One Time Only to Submit Registration

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116 Averill Lane - Irmo, SC. 29063
(803) 234-8824 . Fax- (803) 781-5095
doug@dougtrains.com

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