SCRIPT SECRETS CLASS
REGISTRATION FORM
April 14th & 15th 2012
You can print and mail this form to me, or send the information in an e-mail.
NAME: ___________________________________________________
Street Address:____________________________________________
City:_________________________ State:_______ Zip:_________
E-mail:__________________________________________________
Home Phone: __________________Work Phone:_________________
_____ $249 Early Registration (by March 15)
_____ $349 Regular Registration (after March 15)
_____ Returning Student (special rate)
I found out about this seminar from: _________________________
I was referred by: ___________________________________________
I have referred: _________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________Send the registration form and Check or Money Order to:
William C. Martell
11012 Ventura Blvd PMB 103
Studio City, CA 91604-3546Want to pay by credit card? Click on Payment Methods below...
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copyright 2011 by William C. Martell