Self-Defense Class Registration 
Hosted by TED TURGEON/ IPS Financial Planning
January 23rd @5:30 ( 9 Public Square E. Jarod Mitchell Agency) 
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Name  *
Phone Number  *
Mailing Address  *
Have you taken any self-defense before? *
Required
VIP Only event, if you aren't on the VIP list do you agree to be added to enjoy this free event? *
Required
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