Registration Form -- Smart Marketing Workshop
 

    Saturday & Sunday, Oct. 13 & 14, 2007 *  10 am - 5 pm each day
    To register, or for more information, contact workshop leader Benjamin Bernstein by phone (800-461-3569) or email (benjamin@BernsteinMarketing.com). Pre-register to guarantee your space and receive discounted tuition!

     Tuition: $225 if pre-registered by Sept. 15 * $250 if pre-registered by Oct. 6 * $295 after Oct. 6

     Tuition is payable by cash, check, credit card or PayPal. Money-back guarantee if not satisfied!

     Location: Serenity Lakes Wellness Center, 3444 Club Drive, Lawrenceville, GA 30044 (one mile east of I-85/Pleasant Hill Exit -- Northeast Atlanta)
 

NAME:__________________________________________________________ 

BUSINESS: ______________________________________________________ 

MAILING ADDRESS: _______________________________________________ 

CITY / STATE / ZIP: ______________________________________________

PHONE(S): ______________________________________________________ 

EMAIL: _________________________________________________________ 

WEBSITE: _______________________________________________________

HOW DID YOU HEAR ABOUT THIS WORKSHOP?_________________________

IF SOMEONE REFERRED YOU, WHO WAS IT?____________________________

 

    If paying by check: make check out to Benjamin Bernstein and mail with this completed form to It’s All Good Astrology, PO Box 8062, Asheville NC 28814. 

    If paying by cash: contact Benjamin (828-658-9073 or benjamin@ItsAllGoodAstrology.com) to make payment arrangements.
   If paying by credit card: mail this form (being sure to complete the section below) to It’s All Good Astrology, PO Box 8062, Asheville NC 28814. Or call Benjamin at 828-658-9073 and give him the information over the phone.
   If paying by PayPal: Go to www.PayPal.com, click the "Send Money" tab, and follow the instructions. The payee email address is benjamin@ItsAllGoodAstrology.com.

 

TYPE OF CARD:__________  CARD NUMBER: ____________________________ 

EXPIRATION DATE: _________   

BILLING ADDRESS*: ________________________________________________ 

BILLING CITY / STATE / ZIP: _________________________________________

AUTHORIZED SIGNATURE: ___________________________________________

 * The address at which you receive your credit card statement

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