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. 

NAME________________________ Email____________________________

STREET ADDRESS________________________CITY____________________

STATE/PROVINCE_____________________  ZIP CODE_________________  

TEL (______)______-________ Number of Participants____________

Date of Seminar_________ Location_____________________________

Credit Card Option:

Type of Card:      Visa___ MasterCard___ American Express___ Discover___

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 (U.S. Funds) $______________

Send check or m/o to: The Freeman Institute, Box 305, Gambrills, Maryland 21054

Contact us if need more information (410-729-7800)

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