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REGISTRATION
Registration Form
CUSTOMER INFORMATION
Name:
Street Address:
City:
State / Province:
Zip / Postal Code:
Country:
Home Phone:
Work Phone:
Cell Phone:
E-Mail Address:
Average:
Hand:
LEFT
RIGHT
RESERVATION INFORMATION
Date & Time:
Select Date & Time
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Reservation Date & Time
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Select
Size of Group:
PRICING INFORMATION
Regular / Returning Customer / PBA
Full Day Private:
$500 /
$425 /
$375
PBA#
Jr. Gold Private:
$375
JR GOLD#
Half Day Private:
$300 /
$255 /
$225
PBA#
Group - 1 Instructor:
2 ppl -
$275 /
$233.75 /
$206.25
3 ppl -
$200 /
$170 /
$150
4 ppl -
$150 /
$127.50 /
$112.50
Group - 2 Instructors:
4 ppl -
$275 /
$233.75 /
$206.25
5 ppl -
$225 /
$191.25 /
$168.75
6 ppl -
$200 /
$170 /
$150
7 ppl -
$175 /
$148.75 /
$131.25
8 ppl -
$150 /
$127.50 /
$112.50
SOURCE INFORMATION
Source:
Internet
Word of Mouth
Referral
Ad
Other
OTHER KEGEL SITES:
www.kegel.net
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www.foundation300.com
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www.phantomradioshow.com
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