321-759-2612
To register PRINT & return this completed form with your
pre-registration check or money order or credit card order
for $10.00. An additional $50.00 CASH will be due when
you take the course.
Pre-registration fees are NON-REFUNDABLE. However,
they may be applied to a future course.
Fill out this form only if paying by check or money order.
If paying by Pay Pal or Credit Card skip to bottom of page.
SPACE LIMITED TO 24 STUDENTS
Fill out form here before printing page.