Revive Seminar Registration Form
Seminar Title:  [   ]Professional DJ 101(1 Day Seminar)  $65.00
     [   ]How To Become A DJ (3-Day Seminar)  $225.00
                            [   ]Advanced DJ Training (1 Day Seminar)  $50.00
Total Enclosed:__________
Name:________________________________________
Business Name:_______________________________
Address:_________________________________________________________
City:__________________________State:________________ZipCode:__________
Phone:___________________________E-mail:_____________________________
 
Business Type:_____________________________________
(Club Owner, Cafe Owner, Youth Minister, Etc.)
 
Personal Profile:   [   ]Female        [   ]Male 
 
Ethnic Profile:      [   ] Native American         [   ]European American or White    
                                 [   ]Asian American           [   ]African American or Black                                                                  [   ]Hispanic American      [   ]Other__________________
___________________________________________________________________________________________
 
Many Courses Fill quickly.
At least 48-hour advance registration is highly recommended.
Seminars open to students 13 and older.
 
Write Check or Money Order to:
Revive Sound Productions
 
Mail To:
Revive Sound Productions
ATTN: DJ Seminar
300 East Chestnut St.
Delmar, MD 21875
 
Do no send cash by mail.  Cash will be accepted at the seminar site.
To register by phone, call Revive at 410-725-6054 or by e-mail djrandy@Yahoo.com
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