SEVENTEEN MAGAZINE REGISTRATION FORM
Become a Star!
Saturday, May 15, 2010 - SEMINAR: 12:00PM & AUDITIONS: 1:30PM
  • Julie Nation Students & Graduates Fee: $35
  • Public or Students/Graduates of other schools Fee: $45
  • ParentsFee: $15
  • PLEASE NOTE THAT THE FEE IS NON-REFUNDABLE BUT CAN BE TRANSFERRED TO ANOTHER PARTICIPANT

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    Name (Last)______________________________________ (First)______________________________________

    Address_______________________________________________ City_______________________________ Zip_______________

    Phone _____________________________________________ Email__________________________________________________

    Please indicate number of attending: JN student/graduate _______ Public or Other school's student/graduate________ Parent________

    Total Due $____________________________________________ Money Order________ Check________Visa/Mastercard________ 

    Credit Card Number____________________________________________________________________ Expiration:______/______

    Please make checks payable to “Julie Nation Inc.” and mail form and payment to:

    Julie Nation Academy, 2455 Bennett Valley Rd. Suite 110A, Santa Rosa, CA 95404

     

     

    PHONE: (707) 575-8585 OR Toll Free (888)793-0177 - Form may be faxed to 707-575-8596

     

    Believe in Yourself and Live Your Dream!