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Re-connections Registration Form

Fill out this form and than print it.
Send it along with a check or Fax with credit card information.

Registration Information for Re-connections

Name:
E-Mail Address:
Phone Number: day
evening
Street Address:
City/State/Zip:
Fee:
No of people - total $
$115 per person including continental breakfast and lunch.
Method of Payment:
Expiration date:
Name as it appears in card:
Signature:
Notes:


Print and mail form to: EquinePerson Connection,
4877 Chambliss Avenue,
Knoxville, TN 37919

or fax(with your credit card information to: (865) 584-7487

Additional information? Contact Angela Masini at: (865) 588-1923 ext 252 or
e mail: epconnection@usit.net



The bond between horses and people has thousands of years of history. Equine-Person Connection uses this relationship to bring fresh insights to individuals, groups and organizations in order to promote positive changes.