Hendricks Seminar Registration

Instructions

Please use this form to register only if you plan on paying with PayPal.

Upon saving this form you will be redirected to PayPal. If you don't have a PayPal account, please print off the pdf flyer found at the following URL:

http://aikidoofarlington.com/PHendricks2008.pdf

Location:
The Congressional Schools of Virginia
3229 Sleepy Hollow Road
Falls Church, VA 22042

Send form and payment to:
Yvonne Thelwell, 700 7th St., SW #402, Washington, DC 20024
Please Make Check Payable to Aikido of Arlington.

Seminar Costs

Apr. 11, 2008 or Before

$50 for one day $80 for both days

After April 11, 2008

$65 for one day $110 for both days

There is a $2 charge for internet transactions via paypal
You can request a refund until April 11th

Seminar Registration Information

Please fill out your contact information below.

*First Name:

*Last Name:

*Address:

*City:

*State:

*Zip:

*Home Phone:

Work Phone:

*Email:

*Dojo:

*Rank:

*Emergency Contact:

Include name and phone number

*One or Both Days:

$65.00
$110.00

Please select only one
The seminar costs are $65 and $110 for one or two days. There is an additional $2 charge for paypal transactions.