Registration Form For Rehabbing Houses Workshop Registration Form

Name: ________________________________________
Partners Name: ______________________________________________
Company Name: ______________________________________________
Shipping Address: ______________________________________________
Address #2: ______________________________________________
City, State, Zip: ______________________________________________
Email (please printed clearly): ______________________________________________
Daytime Phone: _______________
Evening Phone__________________
Fax: _____________
Check The Card You Are Using… Visa / MC / AMEX / Disc
______________________________________________
Expiration Date: __________
Name On Card: __________________________

Signature _____________________________________________

Pricing for the Rehabbing Workshop is for One Attendee.
Your Child Age 18 –21 may attend for $100
Repeat Workshop Pricing for the Rehabbing Workshop is for One (1) Attendee.
Pricing Below For Workshop Pick What You Want…
__ Check here $697 2 Day Workshop for One
__ Check here $397 2nd Person
__ Check here $297 Repeat Workshop… Per Person
__ Check here $100 Child Interested in Investing Age 18 - 21
Your Total Workshop Cost ___________________
Fax this form to: 317-405-9152 are Call Michelle 317-414-6804
Check here if you would like to make partial payments and we call you.

Are you can Email us at Rehabbinghouseswork@yahoo.com