The Power of One!

Boosting Profits Through Customer Loyalty

Client Registration

ACH fee will appear on your September Statement

"*" indicates required fields

Contact Details

Name*

First Last

Company Name*

Email*

Enter Email Confirm Email

Phone*

Registration Details

Registration Type*

Individual Seating

Table of 8

Number of tickets needed*

Names of Registrants*

Please list the first & last name of all registrants

Total

I authorize the above-named business to initiate an ACH debit from the bank account indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one-time use only. I certify that I will not dispute the payment with my bank; so long as the transaction corresponds to the terms indicated in this form.

I Agree

I understand that in order to be eligible for a refund, I must call to cancel at least 3 weeks in advance. Therefore, I need to ensure my cancellation request is made by August 29, 2024. Failure to provide this notice will result in forfeiture of the refund.

I Understand