THE POSSIBLE YOU SEMINAR

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THE POSSIBLE YOU SEMINAR - MONSEY

DATES AND HOURS:

MEN:
SUNDAY, NOV. 17TH 12PM - 10PM
MONDAY, NOV 18TH THROUGH WEDNESDAY,
NOV. 20TH, 7PM - 11:30PM

WOMEN:
MONDAY, NOV. 18TH THROUGH THURSDAY NOV. 21ST 9:30AM - 3:30PM

PRICE:
$950 PER PERSON
$850 MARRIED COUPLE PER PERSON
$475 2ND SEMINAR
$300 3RD SEMINAR AND ON

$50 DISCOUNT FOR EARLY REGISTRATIONS
$100 OFF FOR "BRINGING A FRIEND"

LOCATION:
18 FRANCIS PL, MONSEY, NY 10952

FOR DETAILS: 845-521-0091

FIRST NAME *

(Married couples- please fill out 2 separate forms)

LAST NAME *

PHONE NUMBER *

CELL PHONE NUMBER *

EMAIL ADDRESS *

STATUS *

Married

Single

Divorced

AGE *

IS THIS YOUR FIRST TIME PARTICIPATING IN THE POSSIBLE YOU SEMINAR ? *

YES

IF NO, WHEN AND WHERE DID YOU TAKE THE SEMINAR?

ARE YOU ATTENDING THE SEMINAR THIS WEEK WITH YOUR SPOUSE OR FRIEND? *

YES

IF YES, PLEASE LIST THE NAME OF WHO YOU ARE BRINGING IN ORDER TO GET THE DISCOUNT:

CREDIT CARD INFORMATION FOR PAYMENT:

Please notice!
When payment goes through- your registration is confirmed!
You will receive a confirmation form to your email, Please bring the form to the door on the first day.

NAME ON CARD: *

CREDIT CARD NUMBER: (visa-amex-isracard-mastercard only!) *

EXPIRATION DATE: *

YYYY

CVV: *

COMMENTS

THANKS FOR REGISTERING TO THE POSSIBLE YOU SEMINAR!

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