
Course Registration Form
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Please enroll me for a course of lessons in the following class: BASIC/ INTERMEDIATE ______(Circle) to commence on __________________ at ______time
I ENCLOSE A CHEQUE IN THE AMOUNT OF $______ TO COVER COST OF COURSE.
NAME: ____________________________________ TEL. NO: ( ) ______________ ADDRESS: ____________________________________ APT. # __________ CITY: _________________ PROVINCE: _____ POSTAL CODE: _________ EMAIL: _______________________________________________________ NOTE: No further confirmation will be mailed to you. Your cancelled cheque is your receipt. No credit card payments for courses, please. |
Please print out this form, complete and mail it directly to:
Barbara Seagram
220 Lawrence Avenue East
Toronto Ontario M4N 1T2
Canada