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Free Quotation


Please feel free to contact me at 705-878-6852 or E-mail me.

Workshop Registration Form


Click Here for a
Free Quotation


 Name:     First Name:

ADDRESS   
Street1:     Street2:
     City:
   Postal Code:    

Home Phone:     Business Phone:
     E-mail: 

Category of Workshop: Children  Adults

Comments:

Checkers will acknowledge receipt of your $50.00 registration by e-mail. This ensures your seat is reserved.  If this acknowledgement is not received by return e-mail, your child is not considered registered. No refunds or alternative days will be offered once this date is booked. Note your payment will not be processed until the day of the event.

Should you have any questions please feel free to contact me at 705-878-6852 (Messages only) or email us we look forward to working with you. 

Credit Card Information

Visa Master Card American Express 
Number    

 Expiry Date:

Name on credit card: (MM) (YYYY)

Should you require any additional information,
 please feel free to contact me at 705-878-6852 or E-mail me.
Created by
Steve Coppin Webs
 Copyright © 2002 Checkers The Clown
All rights reserved. Information in this document is subject to change without notice. Other products
and companies referred to herein are trademarks or registered trademarks of the respective companies or mark holders.