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First Name: Last Name:
Address:
City: 
State:Zipcode:
State:Zipcode:Phone:Altern Phone:
Altern Phone:Please select the time and date you would like to attend:
Time: Date:
Date: You can also call to reserve your seating
Toll Free: 1-888-346-9003
Reserve Your Seat Now!!
Seminar Location:
TBD
Phone:
Email: kalataylor@aol.com for upcoming seminar
Pay Now $79.00
