To Register print and mail this form to:
Safe-Capture International, Inc.
P.O. Box 206
Mt. Horeb, WI 53572 USA
Registration Form: White-tail Weekend Seminar
| Program Location
_______________________________
Agency _______________________________________ Address ______________________________________ ______________________________________ |
Program Dates
__________________________________
Telephone _____________________________________ Name 1 _______________________________________ Name 2 _______________________________________ |
Walk-In Registration will be accepted if space allows
(Early Registration must be postmarked by June 12, 2002!)
O July 12 Registration : $475 Early $525 General
O July 13 Registration : $500 Early $550 General
O Both Programs: (Save $50.00) $925 Early $1025 General
Total Number of Registrations _______________ Total Registration Fee Enclosed _______________
(Check, VISA, MasterCard are accepted for advance registration)