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____________________________________________________________________________ ____________________________________________________________________________ Address: ___________________________________________________________________ City, State, Zip: ______________________________________________________________ Telephone Number with area code: ______________________________________________ Email: _____________________________________________________________________
Class Date:___________________ Number of students from one household _____________ Number of students in addition to those counted in previous blank ________________________
Class Fee:___________ Amount paying at this time
_________________________________ 2. Class Number:________________ Class Name ________________________________ Class Date:___________________ Number of students from one household _____________ Number of students in addition to those counted in previous blank ______________________
Total Class Fee for this class: ___________ Amount paying at this time
_________________ 3. Class Number:________________ Class Name ________________________________ Class Date:___________________ Number of students from one household _____________ Number of students in addition to those counted in previous blank _____________________
Total Class Fee for this class: ___________ Amount paying at this time
_________________ 4. Class Number:________________ Class Name ________________________________ Class Date:___________________ Number of students from one household _____________ Number of students in addition to those counted in previous blank ______________________
Total Class Fee for this class: ___________ Amount paying at this time
_________________ Total Class Fees Paying at this time :____________ Total Enclosed: _______________ ____Check or money order enclosed. (Make check payable to Wee Folk Creations) ____Charge to my credit card: __ MasterCard __VISA Card # ________-________-________-________ Exp. Date: ____________________
Note: If e-mailing registration, do not include credit card
information. Please call via telephone or send via US mail to give credit
card number. |