Saddlefit 4 Life Professionals Education Registration Form

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PROFESSIONAL AFFILIATION (check all that apply):

DVM
REMT
Equine Chiropractor
Saddle Fitter
Trainer
Competitive Rider
Amateur Rider

TELL US ABOUT YOUR BACKGROUND (check all that apply)

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

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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) - Equine Ergonomics - Professionals' Seminar -> $197.00
Course #2 (5 days) - Equine Ergonomics - Advanced Diagnostics -> $1,997.00

SESSION DATES and LOCATIONS:

Course #1 - July 18, 2013 - Cedar Creek, Texas (1 Day Course)
Course #2 - July 18-22, 2013 - Cedar Creek, Texas (5 Day Full Course)

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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)

Please contact Deidre Dengo with your credit card information (Visa/MC).

Call Deidre at 800-225-2242 x 30
email: Deidre@saddlefit4life.com

Saddlefit 4 Life^®Professionals' Education:
Registration Form

Are you having difficulty with submitting this form?

Please contact Deidre Dengo at 800-225-2242 x 30 or
e-mail: Deidre@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 Deidre Dengo at 800-225-2242 x 30 or e-mail: Deidre@saddlefit4life.com for further information.

Thank you, Saddlefit 4 Life®

Saddlefit 4 Life^®Professionals' Education:
Registration Form

Please contact Deidre Dengo at 800-225-2242 x 30 or
e-mail: Deidre@saddlefit4life.com for further information.

Thank you,
Saddlefit 4 Life^®