Please make sure the correct City and Dates are entered below.

City of Workshop      VIEW SCHEDULE   Then click your browser's back button to return.

Dates of Workshop (Enter dates, mm/dd/yy, you wish to attend)
 DAY ONE of the workshop
 DAY TWO of the workshop

Workshops in 2008___________________________________

1st time	$375 - TWO DAY WORKSHOP
	$349 - TWO DAY WORKSHOP  (If pre-paid 30 days in advance)
Alumni	$100 -  ALUMNUS  PRICE  (includes updated materials)
	$75 -  ALUMNUS  (If pre-paid 30 days in advance)
	Alumni, Please see special pricing section below "Are you an Alumnus . . ."

TOTAL WORKSHOP FEE:   

How would you like to Pay?____________________________

	Credit Card.  (In order to insure security - please call 1-888-310-3959 to provide credit card information)
	Check/Money Order.  (Mail to Zocklein & Associates, P.O. Box 171, Buckner, KY 40010)
	Purchase Order.  Purchase Order's are accepted, but not considered final payment.
	Purchase Order Number:

Are you an Alumnus of a Zockgrant Workshop?___________

	No, this is my first time attending a Zockgrant workshop.
	Yes, I have completed both days of this Workshop and I wish to attend again. **
	**  ($100.00 for all alumni in compliance with the alumnus policy in 2008)  This fee includes Workshop and current up-to-date Workshop Matterial.
	If Alumnus, then enter the City & Date/s of previous Zockgrant Workshop/s CITY:    DATES:

Where Did you first hear about ZockGrant?

	From the World Wide Web
	From a Fax
	From a Friend or Co-worker
	From a Newspaper/Magazine
	From a TV Ad
	Other  (Please specify below)

Any Comments, Questions, or Short Statements?