Detailing Seminar Application - Dealergoodies.com

Detailing Seminar Application Form
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Date of application: . . . . __/__/__

Date attending seminar: . __/__/__

Dealership:

Address 1:

Address 2:

City:.... Zip: State:

Phone Number:

Fax Number:

Credit Card Number:

Exp. Date On Card __/__/__

Name Exactly As On Card:

Card Signature:

Anything special you would like us to address?

Name's Below	Pricing
1	$ 45.00
2	$ 25.00
3	$ 25.00
4	$ 25.00
5	$ 25.00
TOTAL'S	$

Use your Browser's print function to print this application and fax or call now.
Fax to 717-664-2884 or call 1.717.665.6510
OR
Make Check Out To Detailing Seminar and Send Check To :
Lynn Palmers Auto Dealer Supplies
88 Auction Rd. Manheim, PA. 17545
Att: Lynn Palmer

Date of application: . . . . __/__/__
Date attending seminar: . __/__/__
Dealership:
Address 1:
Address 2:
City:....	Zip:	State:
Phone Number:
Fax Number:
Credit Card Number:
Exp. Date On Card __/__/__
Name Exactly As On Card:
Card Signature:
Anything special you would like us to address?