REGISTRATION FORM FOR:
BGI III
___
November 5-8: Santa Fe, New Mexico
La Fonda on the Plaza
100 E San Francisco St
Santa Fe, NM 87501
800-523-5002
Ask for the BGI Group to get a great room
rate!
Name:_____________________________________________________ Address:___________________________________________________
City:_______________________________________________________
State:________Zip Code:_______________________
Telephone # :_______________________________________________
E-mail Address:______________________________________________
Bringing a table? ** How many?_____**Adjusting tables are necessary
for a quality experience, please bring one if possible
WEEKEND COURSE FEE: All fees in US Dollars
Doctors:
Registration received one month prior to the seminar:* ----------$400
Registration received less than a month prior to the seminar:*
---$450
At the door registration: ----------------------------------------$475
1st Year DC’s:
Registration received one month prior to the seminar:* ----------$325
Registration received less than a month prior to the seminar:*
---$350
At the door registration: ----------------------------------------$375
Students:
Registration received one month prior to the seminar:* ----------$275
Registration received less than a month prior to the seminar:*
---$300
At the door registration: ----------------------------------------$325
*Payment in full is required to register.
( * Transfer Policy: All seminar fees are non-refundable.
If you are unable to attend the seminar for which you have registered,
your registration fee can be applied to a future seminar within
one year of the original registration. A $50 administration
fee applies for all transfers.)
**Adjusting tables are necessary for a quality
experience, please bring one if possible.
MAKE CHECKS PAYABLE TO: BGI
Seminars
Credit Card #(Visa or Mastercard Only):_________________________________
Exp. Date:__________________________________ Security Code:__________
Name (as on card):__________________________
Billing Address for Credit Card if different that address listed
above:
___________________________________
___________________________________
I Authorize ____________________dollars to be charged to the above
credit card and understand and have agreed that the entire fee for
the BGI III Seminar is NON-REFUNDABLE.
Signature:_________________________________Date:___________
Mail registration to:
Essence Quality of Life Center
25W330 Geneva Rd.
Carol Stream, IL 60188
Or Call:
630-258-1054
Or Fax:
630-690-9928
Or Email:
info@bgiseminars.com
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