Dr. T.D. Wilson

REGISTRATION FORM

Personal Information
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Travel & Accomodations
You are responsible for your travel and accomodations expenses. Host Hotel: Embassy Suites 806-771-7000 www.embassysuiteslubbock.com
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Billing Information
I am a current client or plan to be a new client of My Practice Rocks coaching.
Total Amount to be billed is $449.00
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