Face to Face With Greatness
Attendee Registration

By Mail: Print form and mail to:
Rebecca Smith
1104 Hardisty Drive
Arlington, TX 76001

Email: rls39@yahoo.com

By Phone: (817) 375-9209 (home) or (801)669-0576 (cell)
 
By Fax: (817) 375-9209 (call first to let us know you are faxing)
 
Paypal: mike1870@yahoo.com

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 Rebecca Smith)
    Credit Card
       Circle one:              MasterCard             Visa            American Express            Discover

Credit Card #                                                                         Exp. Date                              CVCC#                             

Total amount included                    

Seminar Fees are transferable, but non-refundable.