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March 16-18 , 2012
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12th Workout
Weekend with 8 x Mr. Olympia, Ronnie Coleman ATTN: Tina Thomas Cost: $850 |
Want to pay on-line? We can also accept payment through Paypal - the largest online payment service in the world - visa, mastercard, or American Express Workout Weekend $850 More Information? Call 817 538 7187 |
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INFORMATION
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| NAME* | ||||
| STREET* | ||||
| CITY* | ||||
| STATE* | ||||
| ZIP* | ||||
| COUNTRY* | ||||
| WORK PHONE* | ||||
| HOME PHONE* | ||||
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MOBILE
PHONE
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E-MAIL*
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MAKE MONEY ORDER OR CHECK, CASHIER'S CHECK PAYABLE TO "TINA THOMAS." Mail
payment to: |
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*Are you available March 16-18, 2012 Yes no |
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| You may also mail in your credit card information | ||||
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Type of Card: Visa Mastercard Amex |
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*Name
on Credit Card
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*Credit
Card Number
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*Expiration
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Address
(if different from participant):
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City,
State, Zip Code:
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*Signature: ________________________________ *required information |
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