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 Seminar06/05/2023 Sand Springs OK06/05/2023 Mena AR06/06/2023 Grove OK06/06/2023 Fayetteville AR06/07/2023 Van Buren AR06/07/2023 Joplin MO06/12/2023 Poplar Bluff MO06/12/2023 McAlester OK06/13/2023 Sikeston MO06/13/2023 Rogers AR06/14/2023 Dyersburg TN06/14/2023 Rogers AR06/19/2023 Raymore MO06/19/2023 Emporia KS06/20/2023 Broken Arrow OK06/20/2023 Harrisonville MO06/21/2023 Tulsa OK06/21/2023 Topeka KS06/26/2023 Springfield MO06/26/2023 Osage Beach MO06/27/2023 Springfield MO06/27/2023 Jefferson City MO06/28/2023 Ozark MO06/28/2023 Columbia MO07/05/2023 Sedalia MO07/05/2023 Rogers AR07/05/2023 Bartlesville OK07/06/2023 Joplin MO07/06/2023 Fayetteville AR07/11/2023 Independence KS07/11/2023 Norman OK07/12/2023 Winfield KS07/12/2023 Oklahoma City OK07/13/2023 Wichita KS07/13/2023 Cushing OK07/18/2023 St. Joseph MO07/18/2023 DeQueen AR07/19/2023 Lenexa KS07/19/2023 Hope AR07/20/2023 Lenexa KS07/20/2023 Texarkana TXHow 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 EmailThis field is for validation purposes and should be left unchanged. Δ
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