Registration for Martial Application

Space is limited, register soon

Workshop cost – $50.00      Registration Contact:    Cheryl Bennett 614-595-7278 E-mail: cheryl.bennett76@yahoo.com 

Method of Payment:    Send money order or check made payable to:  Cheryl Bennett, P.O. Box 2142, Monroe, MI 48161

Registration Deadline is July 30, No refunds after July 30, 2013

Registration:

 

Name: ________________________

 

Address: ______________________

 

______________________________

 

Zip Code: _____________________

 

Telephone: ____________________

 

Work Phone: __________________

 

E-Mail:  _______________________