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Name ____________________________________ Address __________________________________ __________________________________ City ____________________________________ State ________ Zip ______________________ Phone ___________________________________ e-mail ___________________________________ Class Date ________________________________ Amount Due _______________________________ Credit Card No. _____________________________ Expiration Date ____________________________ Signature _________________________________ Important! Deposit and Cancellation Policy Return this form and 50% deposit to reserve a place in my class. Your balance is due 10 days prior to the first day of class. A refund of the deposit will be given if I am notified no later than 14 days prior to class. For more information, contact me. |
