Firewalks will be held
in Clarksville Va. approximately one hour and
fifteen minutes north of the Triangle area. To compensate for the
inconveince the registration fee has been reduced. If you wish to
host a firewalk other arrangements can be made, contact me to
discuss. Special
pricing available for Group
firewalks or charity firewalks, contact us to discuss your special
requirements
or to find out about organizing and event for your company, group,
charity or
DoJo.
First time walker $59:
Click appropriate button below for PayPal, it's fast easy and secure !!!!
Special discount if you sign up two people, two people for $100:
If you are a repeat walker, special rates also apply, email me to discuss.
Or if you prefer you may preregister via check, print out and fill out
the following form and attach to your check.
Firewalk
NC
- Printable
Registration Form
In
order to register into The
Firewalk NC Seminar, Please fill out the form below. Attach a
check/money order
payable to Ucandoit Inc. or you may use PayPal to pay by credit card,
just
double click the button at the bottom on this page. Be sure you send
the
correct amount of funds by or before the cut off dates or there may be
a
balance due. As soon as payment has been received we will send you a
confirmation via email if you use PayPal or letter if you have mailed a
check. Included will be directions to
the location of the event. For those that register late,
confirmation/directions will be done by phone, fax or email. (One Form
Per
Person-Minors ONLY permitted with a registered Parent or guardian and
require
Parent’s Written Permission)
Name___________________________________________
Company________________________________________
Address
(mailing)_________________________________________________
City_________________________State_______Zip
Code________________
Phone-Day________________________Evening_______________________
Fax_________________________Email______________________________
Enclosed is $59.00
(new walker), $100.00 (two people)
circle one.
By registering into
this seminar, I
understand
that I will be responsible for any balance due and prepaid fees are non
refundable unless the event is canceled. I will be required to read and
sign a
release form. The actual firewalk is optional and is not a requirement
to
attend this seminar. Only people that are registered and paid will be
admitted,
no outside observers, please.
Please
print and fill out this form completely and send or *fax
to
the address below.
Make checks
payable & send to:
Ucandoit Inc. 708 Churchill Dr. Chapel
Hill NC 27514
Checks must be
paid or post marked on or before the prepaid dates-no
exceptions.
Confirmation and
directions will be sent via email, snail mail or fax
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