Seminar Registration FormFirst Name(Required) Last Name(Required) Email (if no email given, leave blank) Cell Phone(Required)Home PhoneChoose a Seminar(Required)Please Choose a Seminar02/06/2023 Hope AR02/06/2023 Yukon OK02/06/2023 Clarksville AR02/07/2023 Pocahontas AR02/07/2023 Magnolia AR02/07/2023 Shawnee Ok02/08/2023 Texarkana TX02/08/2023 Midwest City OK02/13/2023 Joplin MO02/13/2023 Sikeston MO02/14/2023 Caldwell AR02/14/2023 West Memphis AR02/15/2023 Russellville AR02/15/2023 Point Lookout MO02/15/2023 Chanute KS02/20/2023 Columbia MO02/20/2023 Newport AR02/20/2023 Poplar Bluff MO02/21/2023 Chillicothe MO02/21/2023 North Little Rock AR02/22/2023 Cameron MO02/22/2023 North Little Rock AR02/27/2023 Heber Springs AR02/27/2023 Berryville AR02/28/2023 Clinton AR02/28/2023 Mountain Home AR03/01/2023 Mountain View AR03/01/2023 Rogers AR03/06/2023 Oklahoma City OK03/06/2023 Kennett MO03/06/2023 Sedalia MO03/07/2023 Edmond OK03/07/2023 Fayetteville AR03/08/2023 Midwest City OK03/08/2023 Siloam Springs AR03/13/2023 Cabot AR03/13/2023 Olathe KS03/14/2023 Searcy AR03/14/2023 Lawrence KS03/15/2023 Maumelle AR03/15/2023 Topeka KS03/20/2023 Wichita KS03/20/2023 Pine Bluff AR03/20/2023 Ada OK03/21/2023 Wichita KS03/21/2023 Stuttgart AR03/22/2023 Wichita KS03/22/2023 North Little Rock ARHow Did You Hear About Us?(Required)Please Choose One1. Post Card2. Facebook3. Text Message4. Google5. Instagram6. Banner Ad on Website7. Email8. YouTube9. OtherPromo Code Will Your Spouse Be Attending With You?(Required)Please Choose OneYesNoBringing a spouse with you? Please select Yes so we can include them in our total count of attendees.Please List Any Dietary RestrictionsHiddenUTM Source HiddenUTM Medium HiddenUTM Campaign PhoneThis field is for validation purposes and should be left unchanged. Δ
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