2008 DOUG BLEVINS KICKING
PRIVATE INSTRUCTION REGISTRATION
 

 
3 Day Session

Desired Dates


 ___________________

  
Name ________________________________
Address ________________________________
City, State, Zip ________________________________
  ________________________________
Phone ________________________________
Email Address ________________________________
   

Age

 ____        Years Experience _____

I am a:

_____Kicker
  _____Punter

Payment Method:

_____ Check Enclosed ($1030 per participant)

_____ Credit Card Using Google Checkout Below

 
 


This page is intended for exclusive use of Doug Blevins Kicking clients by invitation only. Accordingly, prices reflected here do not constitute an offer to the general public.

Print, complete this application and send your payment to:

Doug Blevins Kicking & Punting, Inc
972 East Stuart Drive
PMB 291
Galax, Virginia 24333

  

Phone: 954-636-4167  FAX: 954-636-2618
Copyright & Copy dougblevinskicking.com 2006. All rights are reserved