Registration for the Guerrilla Jingle Producers Bootcamp (Please print out, fax or mail. Or call us direct at 702-898-7070)


I want to be one of the people who attend this bootcamp April 27th - May 1st. Enclosed is $100 ($150 for non-subscribers and the Jingle Course will be sent to you right away.) to reserve my seat at the bootcamp.


Please charge my credit card. Circle One: Visa-MasterCard-American Express-Discover.

Card number:_______________________

Expiration:________

Signature if faxing or mailing:_________________________



Name:_____________________________

Address:_________________________________________

City:_____________________State:_________Zip:______

Day Phone:____________________Night Phone:_______________

Fax:__________________________

Reserve _______seat(s) at the bootcamp. Extra person $175.

Please make my room a "smoking or "non-smoking room. (Check One)

I will have ______people in my room.

Special Instructions for any physical disabilities:__________________________________

_______________________________________________________________


You can fax this form to 702-395-6783 or send it to

RSM-Direct
4542 E. Tropicana #211
Las Vegas, NV. 89121