If paying by check, please mail a copy of this registration form and that check to:
442 Coral Harbor Drive, SC 29588
( ) Paying by Check. Check #__________________________________
Credit Card: ( ) Visa ( ) MC ( ) Discover ( ) AmX
Expiration Date:_____________________Amount: $________________
Billing Address of Card:________________________________________
Please Note: Cancellations requested 7 days prior to the seminar will receive a refund, less a $50 administrative fee. No refund will be granted after this date. MainGate CE is not responsible for any expenses incurred by registrants do to program adjustments or cancellations. Confirm seminar status before on-site registration.