Cynthia Hankins Clinic Auditor Sign Up
This form will help us prepare for the number of auditors that will be joining us for the Cynthia Hankins Clinic on Jan 18th and 19th, 2020.  Auditors will be required to wear the wristbands that are provided.
Sign in to Google to save your progress. Learn more
Email *
Contact Name *
Best contact phone number *
How many auditors will attend including yourself? *
Would you prefer to prepay f0r $35 per auditor pass or pay $40 at the door the day of? *
If you chose to prepay, what method of payment would you prefer? *
Day of payment notes:
Please note that we will only accept cash or immediate payment via PayPal for auditor passes the day of.  We cannot accept checks unless they are prepaid and payment has cleared.  
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy