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REGISTRATION
Registration Form
CUSTOMER INFORMATION
Name:
Street Address:
City:
State / Province:
Zip / Postal Code:
Country:
Home Phone:
Work Phone:
Cell Phone:
E-Mail Address:
Average:
Hand:
LEFT
RIGHT
RESERVATION INFORMATION
Date & Time:
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Reservation Date
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Full - 9-4pm
Half - 9am-12 noon
Half - 1-4pm
Size of Group:
PRICING INFORMATION
Description
# Of
Attendees
Regular
Returning
Customer
PBA/JG
PBA#
Prepay 3+
Full Day Private:
1
$550
$467.50
$412.50
$440
Half Day Private:
1
$330
$280.50
$247.50
$264
Half Day Group:
2
$225
$191.25
$168.75
$180
3
$175
$148.75
$131.25
$140
Group - 1 Instructor:
2
$305
$259.25
$228.75
$244
3
$225
$191.25
$168.75
$180
4
$190
$161.50
$142.50
$152
5
$175
$148.75
$131.25
$140
Group - 2 Instructors:
4
$305
$259.25
$228.75
$244
5
$260
$221
$195
$208
6
$225
$191.25
$168.75
$180
7
$210
$178.50
$157.50
$168
8
$190
$161.50
$142.50
$152
9+
$175
$148.75
131.25
$140
SOURCE INFORMATION
Source:
Internet
Word of Mouth
Referral
Ad
Other
OTHER KEGEL SITES:
www.kegel.net
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www.foundation300.com
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www.phantomradioshow.com
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