CampExperience™ Minicamp Registration
For more information on Minicamp Click Here!

 

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First Name:
Last Name:
Address:
Suite, Apt #, Etc. :
City:
State:
Zip:
Daytime Phone:
Evening Phone:
Title:
Organization:
Email:
Emergency Contact:
Emergency Contact Phone:
Special Dietary Needs?:
Special ADA Needs?:
   
How did you hear about
this workshop?


Registration Fees $149
   

All this, plus amazing Camp gifts and surprises for the excellent tuition of $149 which includes FREE PARKING.     

Secure Payment Through Paypal On Next Screen
You may register on line by using a credit card or print out this form and mail it with a check or money order.

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You may also print this form and FAX to our secure FAX 801.650.4850.

To Pay by Check:  Please print the registration form with the print button at the top of this page, and mail it with your check to:

Wiersma Experience Marketing
10601 E Crestline Ave
Englewood, CO 80111

A receipt will be retuned to you upon processing of your Registration Fees. 

100 spots will be filled on a first-come-first-served basis.  Registration fees are not refundable but are transferrable.

Final registration deadline on line June 10th, 2011.

Questions?  Please contact Renee Vejvoda 720-840-4001or Renee@CampExperience.com

Check this box to acknowledge you have read this page and understand you are registering for this event.

 


Once you hit Submit, you must select CHECKOUT on the next page to complete your registration unless you are paying by check.
Please note your credit card receipt will say Wiersma Experience Marketing.