Registration  3 or more persons (6 total persons per registration)
Which Seminar: Altoona State College
Your Name:
Address:
Phone:
Email:
Company Name:
Other Attendees (6 maximum, including yourself, per registration)

(Separate the names with a comma)
Amount Due:
   
($149.00 per person if registering for 3 or more persons)
   Total Attending (3 or more, 6 maximum )
   x $149.00 per person
   $ =Total Amount Due
Select Method of Payment:
Pay by Mail
Payment must be received 1 week in advance of program date
  Make check payable to Tammy Miller
Mail to: Tammy Miller
1172 Ghaner Road
Port Matilda, PA 16870
Pay by Credit Card (Visit the PayPal website - See below)
Comments:
** ** 
If Paying by Credit Card: Please visit PayPal's secure website to send your payment. Select your seminar option from the dropdown below and click on the "Add to Cart" button (button will display only if connected to the Internet).
Select Number of Persons and Location