Please
send form and payment to:
Gregath Co., PO BOX 505, Wyandotte, OK 74370.
Information provided here will be used for ongoing PR so please send this in with payment ASAP.
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
Phone Number:_______________________________
Preferred Roommate (optional): _____________________________________________________________________________________________
_____________________________________________________________________________________________
Email: ________________________________
Website/Blog: ________________________________
Note any electronic contact information provided may be used online and in PR
(___) Yes! I will be changing/updating my presentation from the exact form I had planned using October, 2013. (Required)
Presentation Equipment Requested (podium, digital projector and screen already in room, computer if requested):
_____________________________________________________________________________________________
Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Speakers cannot provide referral bonuses for others - though they are eligible for unlimited referral bonuses for attendees they refer.
Price includes 2 session speaker credit and 2013 Discount
____ Speaker Standard Full Retreat Package
@ $115.00 = $______________
Until
July 1, 2014 - as available
____ Day Tripper @ $60.00 - all classes and meals on Saturday = $______________
Until
July 1, 2014 - as available
____ Additional Day Tripper @ $90.00 = $______________
Allowance of one additional per speaker
Until
July 1, 2014 - as available
NO
SHIPPING OR HANDLING FEES NEEDED
Page Last Updated:
December 21, 2017