Mary Spire
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| I would like to register for the following (please check): | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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To pay by check or money order: Print and complete this form, enclose your check or money order made payable to Mary Spire, and send it to: Optimal Moves® P.O. Box 8026 Berkeley, CA 94707 Fax : 510-528-3174 To pay using VISA/Mastercard: Print and complete this form, including credit card number and expiration date, and fax or e-mail it to maryspire@optimalmoves.com. Name:_________________________Phone # :_______________________ Address:______________________________________________________ City:___________________________State:______Zip:_________________ Visa/MasterCard # :_____________________________________________ Exp. Date:___________ | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Total Amount Enclosed________________ | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Pre-registration and advance payment required. Refunds given with 2-week cancellation notice, minus a $25.00 processing fee. Confirmation and further information will be sent upon receipt of registration. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Contact Mary for more information. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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