Five Ways To Sign
Up For Any Class or Course
Print out a copy of this registration form
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Please have your Visa or Master Card number ready |
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Phone: (780) 448-0817 |
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Please fill in the order form and include your Visa or Master Card number, expiry date and name of the cardholder. Payment & Shipping confirmation will be sent to you by Fax and by Mail. Facsimile: (780) 922-1147 |
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You may drop off your order list at our office. Please call for location. |
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Fill in one application per person,
ANNY SLEGTEN |
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On line! |
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Registration Form |
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Date:_____________________________ Name: (Print)_____________________________________________________________________________ Address:__________________________________________ City:_____________________________ Province, State: _________________ Country: ________________ Postal Code, Zip Code: __________ Phone: (Home) __________________ (Work): ______________________ Fax: __________________ |
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Courses Requested |
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| Course # and Name | Dates | Fees | GST 6% | Total | |
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Grand Total |
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Amount Enclosed |
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Cheque or Money Order Made Payable to: Anny Slegten c |
Cash
(Drop In Only) c |
Master Card c |
VISA c |
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Credit Card # _____________________________ Expiry
Date:______________________ Cardholder Name: _________________________Cardholder Signature:_________________________ Please note: Payment by credit card will show as "Success and More" on your statement |
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