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Fax or Mail the printable registration form (PDF)

Please select from our list Seminars and fill out the form below:

** By Paying the Full Amount Due or paying Full Amount 2 weeks before the class, you recieve the class at a discounted price. Discounts are based by class and range from $100(2day) to $250(12day).
*Required Fields
Seminar Location:
 South Kansas City, MO unless otherwise noted.
Seminar Dates:
 From: To: (MM/DD/YYYY)
*Seminar Type:
 2 Day 3 Day 6 Day 8 Day 12 Day
*First Name:
*Last Name:
Company Name:
*Address:
*City:
*State:
*Zip:
*Home Phone: Cell Phone: Fax:
*Email:
*Number Attending
*Amount to charge:
Minimum Registration Fee / $250 each

Full Amount (per person)
Minimum Amount (per person)

*Method of Payment :

*If Credit Card: Account #:
*Name of Card Holder:
*Expiration Date:
 (MM/YYYY) *3 or 4 digit code:
*Billing Zipcode:
  
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PITI - P.O. Box 11565 Shawnee Mission, KS 66207 - (800) 533-7973