FIT SEMINIAR PAYMENT

IMPORTANT: Payment must be made at least three (3) business days in advance of the seminar.

Please note that a $2.00 Admin Fee has been added to the FIT Seminar fee.

*Required field.

Select Payment for:

One Attendee $30 + $2 admin fee = $32.00 USD Two Attendees: $60 + $2 admin fee = $62.00 USD

First and Last Name: *

(If paying for 2nd person) - Name of Additional Attendee:

Address: *

Suite/Apt:

City, State and Zip code: *

Contact Phone #: *

Civil Action Number:

County Filed In:

Seminar Date and Time Info

I want to attend the FIT Seminar on: Thu, Oct 6, 2016Sat, Oct 22, 2016Thu, Nov 3, 2016Sat, Nov 19, 2016Thu, Dec 1, 2016Sat, Dec 17, 2016 *

If you prefer NOT to attend with co-parent, provide his/her full name: