- Printable Registration Form
- Autumn/Winter 2009-10 -
Vestal, NY
-
This form may be printed and
mailed to:
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- The American School of
Classical Feng Shui
-
PO Box
983
-
Vestal,
NY 13851-0983
|
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Name
______________________________________________
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- Address
____________________________________________
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- City
________________________ State _____ Zip __________
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- Phone _______________ E-mail ________________________
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Name as it should Appear on Certificates (if different from above)
__________________________
I am
registering for:
__ The Full 10-Course
Program.
-
__
Payment of $1,299 enclosed.
__ A $99
deposit is enclosed. I will pay balance of $1,200 at the first class.
__ The Following
Individual Courses: 1 2 3 4 5 6 7 8 9 10
__
Payment
of $149 each is enclosed.
__ A $99 deposit is enclosed. I prefer to pay as I go.
__ Professional Certification. Exam & processing fee of $239 is enclosed.
PAYMENT BY CHECK OR MONEY ORDER
- Check
or money order should be payable to:
The
American School of Classical Feng Shui
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PAYMENT BY CREDIT CARD
(Visa, MasterCard, or Discover)
To pay by Visa, MasterCard,
or Discover, please
provide the following information:
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Credit Card # ______________________________
Exp Date ____________
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Name as
Appears on Card _______________________________________
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-
Credit Card
Billing Address (if different from above address)
______________________________________________________________________________________________