BULWARK, LLC
P.O. Box 487
Mt. Vernon, MO 65721
FAX: 417-678-7709
Bulwark.US
Lestrainers.com

Course: _________________________________________________________
   
      ____ Basic CLAMP Instructor (16 Hours) ($350) (re-cert $275)
       ____  Master Instructor CLAMP  (24 Hour) ($375) (re-cert-$300) 
       ____  Basic & MI CLAMP Instructor (40 Hour) ($500)  
       ____  Basic GRASP Instructor (24 Hour)($375) (re-cert $300)
       ____  Master Instructor GRASP(16 Hour) ($300) (re-cert $275)
       ____  Basic & MI GRASP Instructor (40 Hour) ($500)
       ____  Basic C & G  Instructor Combo (40 Hours)($675) (re-cert $595)      
       ____  40 Hr. DT Inst. Course  ($500.00)
       ____  S.T.A.R.R. Instructor (24 Hours)  ($500)(re-cert $400)
 End-User Certifications
       ____ CLAMP ($175)  (re-cert $175)
       ____ GRASP ($190)  (re-cert $190)
       ____ 40 Hour DT ($400)  (re-cert $250) 2 1/2 Days

Many other Missouri POST CEU classes available-call for list and pricing

8 Hr. Course =$125.00 per attendee                    16 Hr. Course=$250.00 per attendee
24 Hr. Course=$375.00 per attendee                    4 and 5 day courses=$500.00 per attendee

Course Location: ______________________________________________

Name/Title:____________________________________________________
           
Company Name/Organization: ___________________________________

Address: Please check one: (  )Business (  )Home
_____________________________________________________________

_____________________________________________________________
 

Telephone #: ____________________ FAX: ________________________

E-mail Address: _________________________________________

Total Course Fees:_______________________________________
   Wyatt Sharp                             Mike Madewell                                     Mat Walker
    President                             Project Administrator                         Project Coordinator
  417-849-9973                            417-849-5151                                            417-699-3225

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Due to the high demand for this course, full payment is
required within seven days of registration to reserve a
space in the course.  This is refundable upon cancellation,
provided BULWARK LLC receives notification at least 30
days prior to the start of the course.  Course fees must
be paid in full prior to attending any course unless specific
prior arrangements have been made at the time of registration. 
Check, cash, money order can be used for payment, or a
Credit card may be used for an additional $10.00  fee.  A full
tuition penalty is charged for unattended courses cancelled
less than 30 days prior to the course start date.

Payment:

Make checks payable to :

BULWARK LLC (Federal Tax I.D. # 208850384)
PO Box 487, Mt. Vernon, MO  65712
Bulwark Registration Form
Tel./Fax 417-678-7709