Registering Form For Upcoming Seminar Event

  BY SNAIL MAIL: Print out this form and follow directions. Mail the completed form and check/money order or Credit Card Information to the address below. Please fill out completely and PRINT LEGIBLY. Recheck for any errors.

NAME__________________________________ Email (important)____________________________________

ADDRESS ___________________________________  Postal CODE_________________ Date ____________  

TEL (_______)________-__________ Number of Participants______ Cost Per Person $________Total $_______

____ $49.00  -- May 30th, 2008 >> Day of Seminar Event (Hampton University Convocation Center -- arrive 9:00 - 15:30)

____ Teacher, Student, or Military Personnel ($25 off ticket price) -- show ID at event (no need for a cover sheet)

____ Military Personnel and/or Spouses (SPECIAL MILITARY DEAL) -- fax copy of ID with form before May 29th (midnight) to 757.827.7454 so that we can plan for enough workbooks for everyone (no need for a cover sheet). FINE PRINT: If you cannot use your ticket, please make sure that you pass your ticket (s) on to someone else, since we are planning for workbooks based upon registration numbers.  It sure would be wonderful if you were able to donate $5 for each ticket you have received on the day of the event to cover the workbook materials.
-- You are on your own for lunch (provided at the Convocation Center) -- (The Patriotic Festival is the same weekend as the May 30th seminar, but you can visit the Festival on another day)

Date of Seminar Event_________ Location_____________________________  Today's Date ________________

Credit Card Option      Type of Card:      Visa___ MasterCard___ American Express___ Discover___

Credit Card Number_______________________________________________    Expiration Date: ______/______  

Signature____________________________________

Name/address/phone info for Card: Same as above? Yes__ No__  If not, please place correct card info in space below

GRAND TOTAL $________________

Send m/o to: The Freeman Institute, Box 305, Gambrills, Maryland 21054 (Students: include current student ID)

Send personal/company check to: Freeman Institute, Box 305, Gambrills, MD 21054

POC: Ashaunda Davis -- Tel: 757-827-1257

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