Mailing Instructions

Please print out this page, fill it in and mail it with your payment to...


Advancing Ideas LLC
221 State Ave, Ste. C #208
Marysville, WA 98270
206.721.8751
Email Us

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Full Name:_____________________________________________
 
Day Phone:___________________
 		 Home Phone:___________________
 
Fax:___________________
 		 Email:___________________
 
Address:_____________________________________________
 
City:___________________
 		 State/Province:_______________
 
Postal/Zip Code:_______________
 		 Country:_______________
 

I am paying $297 to reserve my place. I understand the remainder ($1200) is due at the registration table, just before the seminar begins.

I am paying $297 to reserve my place. I understand the remainder ($1200) is due in monthly installments of $100.

I am paying full tuition ($1497 [subtract any discounts if applicable]).

I am Male Female

I wish to have a roommate I do not wish to have a roommate

If you have a code, put it here: __________

If you are paying via credit card, please fill in the information below.
 

Name on Card:   ____________________________________

Card Type:
 
Visa MC Discover AMEX

Card Number: 		 
____________________________________

Expiry Month/Year: 		 
____/_____           Card Code________

The Card Code, is a 3-digit code located on the back of your credit card, on the signature strip just to the right of the card number. On American Express cards, the 4-digit code is on the front of the card, just above and to the right of the embossed card number. Some non-U.S. credit cards may not have this code.

If you have any questions, special requests or instructions, please write them on the back of this page.