Early Bird Registration $110.00 | Alternatives in Motion

To receive the Early Bird Registration discount, please fill out the required fields and press the submit button. Once your registration has been submitted you will be redirected to a secure payment page through PayPal. You DO NOT need a PayPal account to make your payment. (Note: In order to receive the Early Bird discount, you must register and pay by March 31, 2010)

Contact Information

Full Name: *

Phone Number: *

Email Address: *

Email Newsletter: *

Yes

Would you like to be added to our e-newsletter mailing list and receive periodic updates from Alternatives in Motion? (We never sell or give your email address to other parties and you always have the option to unsubscribe from our list)

Individuals

Select the box below if you are registering and paying as an individual

Individual Registration:

Individual Registration

Comments:

Please provide names of others in your group that will be registering on their own. (Optional)

Teams

Check the box below if you are registering and paying for more than one player. Please be sure to enter the first and last names of those you are registering. If you do not have a full team, please enter TBA for the remaining players.

Team Registration:

Team Registration

Team Name: :

Player 1:

Player 2:

Player 3:

Player 4: