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Sign Up to Audit the Cindy Butler Clinic
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Name
*
First
Last
E-mail
*
Phone
*
IDS Member
*
Yes
No
Auditor Package (IDS Members)
FREE - Audit Saturday IDS Member
FREE - Audit Sunday IDS Member
FREE - Audit Both Days IDS Member
Auditor Package (non IDS Members)
$20 - Audit Saturday non-IDS Member
$20 - Audit Sunday non-IDS Member
$35 - Both Days non-IDS Member
Lunch Request
$15 - Saturday Lunch
$15 - Sunday Lunch
$30 - Both Days Lunch
Must be received by April 1 to guarantee lunch
Consent
*
I understand this fee is nonrefundable.
Consent
*
I will bring a chair and understand video taping is not permitted.
Total
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