Saddlefit 4 Life Professionals Education Registration Form

First Name

Last Name

Street Address (Line 1)

City / Town

Province / State

Postal / Zip Code

Country

Home No.

Cell No.

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TELL US ABOUT YOUR BACKGROUND (check all that apply)

Professional saddle fitter
Equine professional interested in saddle fit diagnosis
Equine amateur interested in Saddle Fitting career
Equine professional interested in proper saddle fit
Amateur rider
Business or Other (please provide details below)

Additional Information (optional)

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COURSE OPTIONS:

I would like to Register for the following Saddlefit 4 Life® Courses
(check all that apply):

Course #1 (1 day) - Saddle Ergonomics - Professionals' Seminar -> Cost $197
Course #2 (2 days) - Saddle Ergonomics - Advanced Diagnostics -> Cost $897
Course #3 (2 days) - Saddle Ergonomics - Evaluation/Certification -> Cost $897

SESSION DATES and LOCATIONS:

#1 - March 27, 2012 - Washington State - Course #1 only (Location TBA)

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IMPORTANT NOTE - REQUIRES ACKNOWLEDGEMENT:

Please review your contact information and ensure ALL information and contact phone numbers and Emails are correct. Any applications received from outside North America, we will be unable to contact you without a valid Email address.

YES. All contact information I have provided is correct (requires checkmark)

PAYMENT REQUIRED:

Payments may be made in two installments:
> 50% due upon registration.
> Balance due by designated Session date.

Please contact Connie Frantzke with your credit card information (Visa/MC).

Connie Frantzke at 800-225-2242 x 45
email: Connie@saddlefit4life.com

Saddlefit 4 Life^®Professionals' Education:
Registration Form

Are you having difficulty with submitting this form?

Please contact Connie Frantzke at 800-225-2242 x 45 or
e-mail: Connie@saddlefit4life.com for further information.

Thank you,
Saddlefit 4 Life^®

Saddlefit 4 Life® Professionals' Education: Registration Form

Are you having difficulty with submitting this form?

Please contact Connie Frantzke at 800-225-2242 x 45 or e-mail: Connie@saddlefit4life.com for further information.

Thank you, Saddlefit 4 Life®

Saddlefit 4 Life^®Professionals' Education:
Registration Form

Please contact Connie Frantzke at 800-225-2242 x 45 or
e-mail: Connie@saddlefit4life.com for further information.

Thank you,
Saddlefit 4 Life^®