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Registration   

Please provide your First and Last name*

Phone*

Email*

Full Mailing address (Street, City, State, & Zip)*

Message or Comment

Amount paid and method of payment. Make check payable to RJIA, P O Box 721713 OKC, OK 73142.*

How will you pay? Paypal, CashAPP, Zelle, Check? Your purchase amount will appear in the cart on the upper right hand corner.*

Referral name if applicable

Make your payment here:

Restorative Training / Certification

CashApp - $justicemoving (Janice Jerome)

Zelle - (Bank of America) 6785587494

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