Print this registration form and mail to :

Byron Kindig

5121 Red Robin Ln.

Kingsport, TN 37664 .

                                                       REGISTRATION FORM

     Event Title: 6 Day Intensive Blender Basics Class

Class begins October 15, 2011, Payment must be recieved by October 12, 2011

   __________________________________________________________

      Your Name, Address, Phone and email: 

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Registration Amount: __$249.00_____.     Make checks payable to Byron R. Kindig .

      For information call me at (423) 863-2864 or email me at byron@paraisoenterprises.com  .