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Seminar Registration Form
(completely fill out this form and print to mail with check or money order)
Algorithm
Level Training Seminar ........... $400.00 (two day course)
date (mm/dd/yy) from schedule
location from schedule
name **
degree or position **
** (these fields will be printed as shown on course certificate)
company
address
city state
zip/postal code
country
work phone
home phone
E-mail address
Completely fill out this form and print to mail with check or money order to:
Quantum Performance Institute
8919 Fleetwing Avenue
Los Angeles, CA 90045
Phone 310.339.0679
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Fax 310.670.1460 |
Cancellation policy: Fully refundable up to 2 weeks before date of seminar. After that time, fees may be applied to a future seminar. |
