To Apply/Enroll Please Print This Page; Fill Out Information and Return To Our Office; If you have trouble printing this form you might try copying and pasting this information into your "word" program.
You may also apply/enroll by phone or just email us!
Date: _______Name: _________________________ Age: ________ Sex: ___________
Email address: ____________________________________________________________
Phone: ___________________ Fax: ___________________ Cell: __________________
Desired Courses and Class Date/s: _____________________________________________
Reasons for Attending Training Conference: __________________________________________________________________________________________________________________________
Horse Handling Experience: ______________________________________________________________________________________________ __________________________________________________________________________________________________________________________
Other Training and Education:_____________________________________________________________________________________________ __________________________________________________________________________________________________________________________
Deposit Amount Enclosed: ______________ I am including $150.00 for Text Book & Class Materials
Payment Options: We accept Only US Funds; Cash, Visa, Mastercard, Travelers Checks, Certified Funds, Guaranteed Bank Check/Money Order. Our goal is to provide quality education at economical prices. We have a 5% surcharge for credit cards.
Master Card or Visa #: ____________________________ Expiration Date: ____________ Security Code: ________
Please send me your text book and curriculum for study prior to attending: I have added $150.00 to my deposit for these materials. Yes / No
If possible please provide us with the above information prior to attending our course.
Mail To: EGTI Inc., 2050 East Medicine Wheel Lane, King Hill, Idaho 83633 USA
To Enroll in Person Call Dale at: 208-869-1002 or Email Dale at: email@example.com
A Registered, Bonded and Insured Proprietary School
Idaho State Board of Education
Equine Gnathological Training Institute, Inc.
2050 East Medicine Wheel Lane
King Hill, Idaho 83633 USA
Dale's Cell: 208-869-1002