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2017 USATour RegPage FH Fillable
2017 USATour RegPage FH Fillable
W o r ksh o p Re g i s t r a t i o n F o r m
Workshop Information Your Information
Workshop Name Date Workshop # Price Please include all home and school information. Your workshop confirmation will be
e-mailed to you. Please include your e-mail address.
Name______________________________________________________________
E-mail_____________________________________________________________
(Required for confirmation)
Alternative E-mail___________________________________________________
(Required for confirmation)
Address____________________________________________________________
City __________________________________ State______ Zip_______________
Home Phone (______)________________________________________________
Discount Packages Code Tax* Price w/Tax (Required)
School Phone (______)_______________________________________________
r Yes! I would like to receive
the Special Discount Package. District____________________________________________________________
(Discount Packages will be
shipped prior to the event.) School Name________________________________________________________