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2. The Effective Fitness Combative Phase 1 Training Class will be held on Tuesday, March 4th, from 8:00 a.m. to 12:00 p.m. The cost is $50. After submitting the form, you can pay by credit card over the phone, or an invoice can be sent if you prefer to pay by check.

4. Attendee's First Name*
5. Attendee's Last Name*
7. Organization*
8. Email Address*
10. Address*
12. City*
13. State*
14. Zip Code*
16. Phone Number*
17. CLEET Number*
19. How do you want to pay?*

    1. Pay by Credit Card
    2. PO# if paying by check

    If paying by credit card, please contact our Cashier's office after submitting this form at 918-525-4709.

    We will email an invoice after this form has been submitted.

20. PO#

    Please list PO# for invoice (Not Required)

22. Billing Information if different from above
24. Billing Name
25. Phone Number
27. Address
29. City
30. State
31. Zip Code
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field