SPEAKEASY @ HOME REGISTRATION FORM

PLEASE FILL OUT THE FORM BELOW.  ONCE YOUR REQUEST HAS BEEN RECIEVED,
WE WILL CONTACT YOU BY TELEPHONE TO CONFIRM YOUR PROGRAM PURCHASE.
(Please feel free to withhold your Credit Card Information until our telephone confirmation.)

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SpeakEasy @ Home Program Fees

Complete SpeakEasy @ Home Program
Total Price ... $189.95
(Including all taxes, shipping and fees.)
(Educational Tuition Fees may be Income Tax Deductible - Check with your accountant.)

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Included In Your Program Fee

A 5 lesson Program Chart

Instruction Notes

Lecture Notes

Mind Map

Speech Map

Audio CD Explaining The Program Step By Step

A Professionally Critiqued Evaluation Of Your Work

Completion Certificate

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The SpeakEasy @ Home Registration Form

Your Name:
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Home Phone:
E-mail Address:
Method of Payment:	Please Make Payment Selection VISA Cheque/Money Order I will Fax my Credit Information
Name On Credit Card:
Credit Card Number:
Credit Card Expiry Date:
Questions and Comments:

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For further information
Please feel welcome to contact us at:
SpeakEasy Seminars Inc.

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