SEMINAR REGISTRATION FORM
PLEASE DO NOT MAIL IN THIS FORM OR MAKE ANY PAYMENT UNTIL AFTER A
RESERVATION HAS BEEN MADE, EITHER BY CALLING 719-742-3388 OR BY SUBMITTING A REQUEST ONLINE.
After receiving a reservation, please print this form, fill in the information below, indicate method of payment and mail within seven days to:
JUDITH DESIGNS
PO BOX 1123
LA VETA, CO 81055-1123
USA
Please do not send cash.
Enclose Check or Money Order, payable to "Judith Designs" for $600.00 in US Funds.
OR
Alternatively, payment can be made via Pay Pal. Go to https://www.paypal.com, log in and click on
the "Send Money Tab". Then send $600.00 in US funds to jude@judithbakermontano.com


Date_________________________

Name_________________________________________________________

Address_________________________________________________________

City_________________________________________________________

State____________________________________Zip __________________
 
Phone_________________________________________________________

e-mail_________________________________________________________

Seminar of Choice_________________________________(USD) $
600.00

Method of Payment: Check (enclosed) PayPal (electronic payment)

CANCELLATION POLICY
I encourage you to purchase Cancellation and Travel Insurance whether you are traveling by
train, plane or automobile….usually purchased through a travel agent within 14 days of registration and deposit.
All cancelled reservations will have the following charges:
Now – 120 days………$75.00
120 - 90 days………….$100.00
90 – 61 days…………….$250.00
60 – 0 days………………no refund.
Cancellations may be transferred to another person or you may apply it to another seminar if you are unable to attend. All cancellations and replacement info must be in writing or email. All returned checks are subject to a $25.00 fee.

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