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TO REGISTER ONLINE, PLEASE FILL IN THE FOLLOWING INFORMATION ON OUR SECURE SITE
The amount owing is $850.00+$64.00(tax)=
$914.00 CDN or $550.00 US

Name
Address
City.
State.
Zip  
Country
Phone..
EMail
Amount for Credit Card
$850.00

 

YOUR CREDIT CARD INFORMATION:
Card Number
 Exp. Month
  Exp. Date
   

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