REGISTRATION FORM

William C. Dear Academy-Seminars
2720 Stemmons Freeway, Suite 711, Dallas, Texas 75207

OR

If ordering by credit card, FAX: 214-630-4405
CALL: 1-800-858-3327

 Personal Protection for Women

  Personal Protection for
Men

  Personal Protection for Children

Courses include:
- Full Day of Training
- Demonstration & Tactics
- Lunch
- Course Materials
- Pepper Spray with training

each course only $125.00

Please fill form below and send.

MUST RECEIVE FORM/PAYMENT WITHIN 5 DAYS OF COURSE DATE.

Name:
Title:
Company:
Phone:
Address:
City:
State/Province:
Zip:

Amount

 Personal Protection for Women  
 Personal Protection for Men  
 Personal Protedtion for Children  

 Total

 

Visa Mastercard

Credit Card#
Expires


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