Registration

Event Information

Date: 
 Saturday, July 23, 2005
Place:  
The Palace at Somerset Park
Time: 
 7-11 pm
Price: 
 $125 per person
Registration 
Deadline: 
 July 19th
 
  You must be over 18 to attend.
 

Promotional Code

  If you have a promotional code, enter it below and click Submit
Promotional  
Code: 

 
 
Required fields are indicated by an asterisk (*).

Payment Information
Full Name:  

*

Company:  
Address:  

*

 

City:  

*

State:  

*   Zip:  *

E-Mail:  

*

Day Phone:  

*

Evening Phone:   *

Payment Method
Card Type:  

*

Card Number:  

*

Expiration Date:  

/ * month/year

Mailing Information
 Same as Payment
Full Name:  

*

Company:  
Address:  

*

 

City:  

*

State:  

*   Zip: *

 

Additional Information
Please answer the questions as completely as you can. The information you provide will be used during the event.
  1. What is your dream car or other vehicle (motorcycle, boat)? *
   
  2. Where do you visualize yourself being in five years? * (See “Preparing for the Event” page for details)
   
  3. What is your favorite inspirational quote? * Please give credit to the writer.
   
  4. Comments:
   
 

Cancellation Policy – you may cancel by July 15, 2005, 5 pm EDT to receive a $100 refund. After that time no refunds will be granted. Cancel my registration

You will receive an email confirming your registration. Charge will appear as “Ordinary Success, Inc." for $125.

 
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©2005 - 2008 Party Like It's Tomorrow, an Ordinary Success, Inc. Event. All Rights Reserved.