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:
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
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.)
If you are paying by check or money order,
Please make checks or money orders payable to HorseCoursesOnline.
You can also print this form and FAX Credit Card Orders to 830-438-6192 __________________________________ ________________________________ 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
Copyright © 2009 by PonyBoy Brand, Inc.