Saturday	October 2 , 2010
	Earn 3 CE Credits!	Name:
	Buffet Lunch Included!	Phone:
	Private Room!	Address:
	CE Class 9am - 12pm!	Date of Birth:
	Post Time: 1pm!	S.S.#:
	$99 for Students!	License Number:
	$39 for Guests!	Email
	Filling up Fast!	Business Name:
	Register Today!	Business Address:
		Business Phone:
		Credit Card #:
		Expiration Date:
		Bringing a Guest:	Yes No

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