Innkeeper Seminar Registration Form

Print out and complete this form, then fax it or mail it with your payment.

Please fax the completed form to us at Toll free at 866-242-0845 or mail to us at:

The B&B and Country Inn MarketPlace
926 Lenoir Rhyne Blvd., SE
Hickory, NC 28602

A confirmation will be sent to you. If after paying for a seminar, you find that you can not attend, we will apply your payment to the next seminar, or give you a full refund.

PLEASE PRINT

Name:_____________________________________________

Address:____________________________________________________

E-Mail:____________________________________________

Tel. # _____________________________

Fax # ____________________________

Seminar Date and Location you Wish to Attend:_______________________

Number of Persons Attending Seminar: ____________

(Cost - $149 per person or $179 per couple)

Payment method: [ ] Visa    [ ] Mastercard    [ ] Check

Card Number:_________________________________________

Exp. Date:__________

Signature:_____________________________________________

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