WINNING THE SPIRIT WARS

Instructions:

  1. Fill out the form below.
  2. Print out the form using your printer, by clicking the Print button on your browser.
  3. Send the printed form, along with a check made out to "CPCI, Inc." for the full amount of your conference registration to:

    CPCI, Inc.
    2020 Cato Avenue
    State College, PA 16801

 

First Name:          Last Name: 

Address line1:     

Address line 2: 

City:                       State:      Zip Code: 

Phone:             -

 

Please register the following persons for the seminar:

Individual seminar registrations @ $25.00 each =   $

List names below:

1.   2.

3.   4.

 

Couples registrations @ $45.00 per couple = $

List Couples below:

1.   2.

3.   4.

 

Seniors (60+) @ $20.00 each = $

List Seniors below:

1.    2.

3.    4.

 

Students @ $20.00 each = $

List Students below:

1.    2.

3.    4.

                                           

                                 TOTAL ENCLOSED = $

WHEN YOU ARE FINISHED TYPING OUT THIS FORM, CLICK THE PRINT BUTTON ON YOUR BROWSER TO PRINT OUT THE FORM ON YOUR PRINTER.