REGISTRATION FORM   

NAME:_________________________________________

ADDRESS:______________________________________

CITY:__________________________________________

STATE & ZIP:___________________________________

PHONE:________________________________________

FAX:___________________________________________

E-MAIL:________________________________________

COURSE, DATE, & LOCATION:

_______________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

A minimum Non-refundable deposit of $250 is due at time of registration.

Mail  check and registration for Trainings to:

Judith Baldwin, LLC
P.O. Box 4061
Enterprise, FL 32725
Phone:    407-322-2086 or 407-322-2689
Fax:        407-323-3144
e-mail: revjudith@aol.com

For out of town participants, the Deltona Inn is offering a corporate rate for  the Judith Baldwin, LLC of $55/day. Ask for the corporate rate when making your reservation. For reservations call 386-574-6693 and remember to identify yourself as being with the group.

Click here for a PDF Format of the registration form