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An all "New" 2009 Agents Education Clinic!!!


 

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Spring Clinic Ticket Request Form

Name:
Title:
Company/Agency:
Address:
City:
State:
Zip:
Phone:
Referring Member
Email Address:
Number of Ticket:
Ticket are $50.00 advanced puchase and $60.00 the day of the Clinic.
Submit or mailed with paper copy of Ticket Request to:

1752 Club

c/o NTX

Attn: Roger Schlink

1905 Wright Blvd

Schaumburg, IL 60193

You may e-mail this TiCket Request Form and Mail Checks (made payable to the Illinois 1752 Club)
to the address above or a 1752 Club member.
Click the submit button below.

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