IYUPTALA UNIVERSITY

ONLINE COURSE ORDER FORM

This Is A Secure Web Page

Enrolling is Easy as 1-2-3!
Step 1 - Enter your Contact Information
Step 2 - Select Course or Courses
Step 3 - Enter Your Billing Information and Submit Order

Please verify your information before submitting. Once your order has been submitted you cannot make any changes to this form.
Within 24-hours an E-Mail will be sent to confirm that your order has been received. Please make sure your email address is correct.

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Step 1 Enter Contact Information

Your Email Address (Please Type Carefully):

    
Your Name: 
Street Address: 
                
City: 
 
State/Province: 
          
Country: 
Zip/Postal code: 
 
Phone Number: 
 

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Step 2 Select Courses

Enroll in ANY SIX Courses to pursue Regional Advisor status and receive 10% off.

  Understanding Bits and Shoeing $275.00 

  Common Sense Equine Nutrition $275.00 

  Horse Health and Disease Management   $275.00 

  Legal Aspects of the Horse Business  $275.00 

  Equine Sports Massage  $275.00 

  Understanding Equine Reproduction  $275.00 

  Dressage: A Foundation for All Riding Disciplines  $275.00 

  Showmanship In Hand  $275.00 

  Understanding Your Horse's Body, Conformation and Selection  $275.00 

  The Athlete In Your Horse, Training Performance Horses  $275.00 

  Better Stable Management  $275.00 

  Blue Ribbons, Preparation for Competition  $275.00 

  Coat Color Genetics  $275.00 

  Equine Photography  $275.00 

  Train for Western Riding  $275.00 

   Train a Reiner  $275.00 

  I have ordered six courses, please credit this order 10% off

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Step 3 Enter Your Billing Information
                      THIS IS A SECURE WEB SITE

The credit card charge will appear on your statement as Success Is Easy - please make a note of it.

Select Credit Card Type:
                    Visa
                    Master Card
                    Discover Card
                        Credit Card Number 
                                Expiration Date 
                      Name on Credit Card 
                   Daytime Phone Number  
Credit Card Owner's Email Address 


Enter your CREDIT CARD BILLING address    Same as contact address

  Street Address:   
                 
City:  
 
State/Province:  
           
Country:  
 
Zip/Postal code: 


Reference Code (for special offers or affiliate codes): 


 

Please verify your information before submitting.  (Check e-mail address.)

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If you are paying by check or money order, please print this form and mail payment to:
HorseCoursesOnline
838 Georg Oaks
Bulverde, Texas 78163

Please make checks or money orders payable to HorseCoursesOnline.

 

 
You can also print this form and FAX Credit Card Orders to 830-438-6192
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For more information please contact info@iyuptala.com

Copyright © 2009  by PonyBoy Brand, Inc.

If you have problems with this form please call (602) 616-8414