Face
to Face With Greatness
Attendee
Registration
| By Mail: | Print form and mail to: Selena Sorensen HC 60 Box 490 Ruby Valley, NV 89833 |
| Email: | jsorensen@wellrec.net |
| By Phone: | 775-779-2306 |
Yes, please enroll me/us in the Face To Face With Greatness seminar. Number of adults: Number of youth:
Name Name
Name Name
Address
Email Address Telephone
Check
or Money Order
(made
payable to Selena Sorensen)
Credit
Card
Circle one: MasterCard Visa
American Express Discover
Credit Card # Exp. Date CVCC#
Total amount included
Seminar Fees are transferable, but non-refundable.