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* 1. Please fill in your contact information

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* 2. What dates will you be registering for? ( Module 2) - Maximum of 10 people per class ($1750.00)

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* 3. What dates will you be registering for? (Module 3) - Maximum of 10 people per class ($750)

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* 4. What dates would you like to register for? - Module 1($65)

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