Phil Davis

PHIL DAVIS
(10/5/14)


How did you hear about the seminar?:

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

Street
City
State
Zip Code
Gym/Instructor’s Name

Are you a current CPAMMA Student?: (required)

TIER 1 (Spots 1-10):
Current Student: $30 Non-Current: $55

TIER 2 (Spots 11-20):
Current Student: $40 Non-Current: $70
TIER 3 (Spots 21-30):
Current Student: $50 Non-Current: $85
TIER 4 (Spots 31-40):
Current Student: $60 Non-Current: $100

Or

After September 15th:
Current Students – $50
Non-Students – $85

Day Of Walk-Ins:
Current Students – $75
Non-Students – $100

**NO Refunds unless Seminar is Canceled**

Additional Comments: