New Image Booking Form
Phone 740-374-5418                       www.newimagetraining.biz
Participant's Name *
Horse's Name *
Address
Phone Number *
Clinic Dates *
Email *
Clinic you wish to book:	2 day weekend Equibe clinic shared - cost $350 / $ 100 non-refundable deposit Weekend private Equibe clinic - costs $450 / $120 non-refundable deposit Auditor 2 or 3 day clinic - cost $15-$25 per day depending on clinic. Please inquire for the amount. May pay at clinic, but must submit a form. Dressage Clinic - Bianca Berktold: May 21st and 22nd 2011. $150 per lesson. May sign up for lessons on both Sat and Sun which is $300 for both days. A $75 non-refundable deposit per lesson is required to reserve your spot. You may bring multiple horses but each lesson will be $150.
Applications Must be submitted by April 20th 2011 /
Payment Method *	Cash Check Money Order Credit Card
Total Amount to be paid
If credit card, please provide the following information. /
Address
Name on card
Type Card - Visa, MC, etc
Card Number
Expiration Date
Phone Number
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