2010 Registration Form
Budd Creek Retreat--April 8-11--$100
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Yes
No
Searcy Extravaganza $130 Nov 5-6, 2010
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Yes
No
First Name
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Last Name
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Address
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City
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State
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Zip Code
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Phone Number
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Cell Phone Number
Work Phone
Email
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T-Shirt Size
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Please charge my credit card for the full amount of my ticket
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No
Payment Plan: Please check yes if you accept the guidelines for the payment plan found on the 2010 Extravagnza page..Tickets are non refundable
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Yes
No
Please use my credit card you have on file
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Yes
No
I will call 501-278-5700 with my credit card information within 48 hours. I am aware that if I do not call within 48 hours with my credit card information my registration will be discarded.
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Yes
No
Please use the following credit card
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Yes
No
Name on Credit Card
Credit Card Number
Expiration Date
Three Digit Security Code on Back of Card
Submitting this form does not secure a ticket. Please allow 48 hours before calling to verify that we have received your registration. 501-278-5700
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Yes
No
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Link to our Blog
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2010 Retreat
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2010 Extravaganza
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|2010 Registration Form|
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2010 Design Team Crew
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Special Delivery
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Product Coming Soon
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