Face to Face With Greatness
Attendee Registration

By Mail: Print form and mail to:
Freedom Academy
4888 NW Bethany Blvd K5 #186
Portland, OR 97229
Email: OregonTJEd@gmail.com
By Phone: 503-629-2590

By Fax
707-313-7413

Yes, please enroll me/us in the Face To Face With Greatness seminar.    Number of adults:            Number of youth:          

Name                                                                                                       Name                                                                                    

Name                                                                                                       Name                                                                                    

Address                                                                                                                                                                                                   

Email Address                                                                                         Telephone                                                                            

    Check or Money Order
       (made payable to Freedom Academy)
    Credit Card
       Circle one:              MasterCard             Visa            American Express            Discover

Credit Card #                                                                         Exp. Date                              CVCC#                             

Total amount included                    

Seminar Fees are transferable, but non-refundable.