Robert Hensarling - MesquiteRocker.com

2006 Seminar Reservation Secure On-Line Order Form

If paying by Credit Card you may call 1-800-528-6196 with your CC Information or
Use this Secure On-Line Order Form and pay now via PayPal
(!!! NEVER EMAIL YOUR CREDIT CARD INFO !!!)

Seminar: Full Price $1,100.00 USD - 50% down payment required per person Full amount may be paid if you so choose *** NOTE: When paying 50% down the balance of the payment is due the first day of the seminar **

Choose Seminar Date and Amount SEMINAR DATE-AMOUNT: SELECTION REQUIRED ------------------------------------ Sept 19-22, 2007 - 50% down - $550.00 USD ---> Sept 19-22, 2007 - Paid in Full - $1100.00 USD ---> Nov 7-10, 2007 - 50% down - $550.00 USD Nov 7-10, 2007 - Paid in Full - $1100.00 USD

Number of Reservations -

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