Spring 2008
Printable
Registration
Print, fill out
and mail to:
Nancy Stewart
6505 SE 28th St.
Mercer Island, WA 98040
Name:
____________________________________________________________
Address:
__________________________________________________________
City:
_____________________________________________________________
State: ________________________
Zip: _________________________
Phone: _______________________
Class Session Requested:
________________________________
Alternate Class Session:
_________________________________
Session Fee: $110 OR deposit of $20
to hold your place
Method of Payment
Visa
MasterCard
Check
Credit Card #:
_______________________________________
Expiration date: _________________
Signature:
__________________________________________________________
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