SEMINAR REGISTRATION FORM
DO NOT MAIL IN THIS FORM OR MAKE ANY PAYMENT UNTIL ARESERVATION HAS BEEN MADE,
EITHER BY CALLING 719-742-3388 OR BY SUBMITTING A REQUEST ONLINE OR VIA EMAILTO: judithbakermontano@me.com

After receiving a reservation, please print this form, fill in the information below and indicate method of payment and mail within seven days to:
JUDITH DESIGNS
PO BOX 1123
LA VETA, CO 81055-1123
USA

Payment is made via Pay Pal. Go to https://www.paypal.com, log in and click on
the "Send Money tab", then the “Friends and Family tab”. 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: PayPal (electronic payment)
Check (CHECKS ONLY ACCEPTED IN PERSON)
CANCELLATION POLICY
Please purchase Cancellation and Travel Insurance! It can be 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. All cancellations and replacement info must be by email. All returned checks are subject to a $25.00 fee.

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