If you wish to register online using a credit card click here: Celebrant Registration

If you prefer to print a registration form to mail or FAX, print this page:

In-Sight Institute 2013
Certified Celebrant Registration

Training Location and Date
(see Celebrant Training Locations at www.insightbooks.com)

Location    ________________________________________

Date          ________________________________________

 
Registrant (please print clearly)

Name        ________________________________________

Business   ________________________________________

Position     ________________________________________

Address     ________________________________________

                  ________________________________________

Phone        ________________________________________

E-Mail        ________________________________________

Name as you wish it to appear on training certificate

                  ________________________________________

 

Payment (payment is due 10 days prior to training or registration may be subject to cancellation)

___       Participant                  $800 (
3 or more from the same firm $750 each)

___       Student                      $550 (limit 5 students)

Prices are good through 12/31/13 
Make checks payable to In-Sight Books or charge to VISA/Master Card/American Express/Discover)

Card #       ________________________________________

Amount      ________  Exp Date  ________  Card ID _______

Signature   ________________________________________

Mail to: In-Sight Books, Inc., Attn: Celebrants, PO Box 42467, Oklahoma City, OK  73123
or FAX: 405.810.9504. You may also register by phone: 800.658.9262 or 405.810.9501
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