Criminal Pursuits

 

Criminal Pursuits REGISTRATION FORM

Registration fees refunded prior to Sept. 1 will be assessed a $20 admin fee. No refunds after Sept. 1, 2009.

Early bird registration Payment received before 31-Aug-09 $65
Pre-registration Payment received between 1-Sept-09 and 20-Oct-09 $75
Full registration Payment received between 21-Oct 09 and 6-Nov-09 $90

 

Name:
Address:
Address:
City:
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Phone:
E-mail:
Web site:
Check here if you are a published author:
Title of your latest book:

PAYMENT OPTIONS:

Check or Money Order:
Print out this form and submit it with your check or money order to:
BreakThrough Promotions
207 Ovilla Road
Waxahachie, TX 75167

PayPal:
Click on "submit form"; then go to PayPal.com and make your payment to rebelssong@aol.com.

Credit Card:
Click on "submit form"; then pay using our secure server at LinkPoint Connect.

 

 
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