DBMACamp

DBMA East Coast Camp – 10/16/15


How did you hear about the seminar?:

First Name
Last Name
Date of Birth
Email (required)
Phone # (required)

Street
City
State (PA, NY, CA)
Zip Code
Gym/Instructor’s Name

Which Day(s): (required)

TIER 1: 1 day = $100 | 2-3 days = $150
(Spaces 1-10)

TIER 2: 1 day = $125 | 2-3 days = $175
(Spaces 11-20)

TIER 3: 1 day = $150 | 2-3 days = $200
(Spaces 21-100)

OR

Before Aug 1st:
1 day = $100
2-3 days = $150

Aug 1st-Sept 15th:
1 day = $125
2-3 days = $175

Sept 16th-Oct 1st:
1 day = $150
2-3 days = $200

After October 1st:
1 day = $175
2-3 days = $250

At Door:
1 day = $200
2-3 days = $300

**NO Refunds unless Camp is Canceled**

Additional Comments: