Class Registration Form
CLASS TITLE
CLASS DATE (S)
ATTENDEE (S)
AGENCY NAME
ADDRESS
CITY
STATE, ZIP CODE
AGENCY CONTACT
TITLE
PHONE NUMBER
BEST TIME TO CALL
EMAIL ADDRESS
COMMENTS
Cancellations made up to 15 days prior to class date there will be no charge.
Cancellations
less
than 15 days - agency will be responsible for payment in full.
A substitute may be sent for the class invoiced. Questions? Please call 888-876-4911
Registration confirmation will be sent VIA
EMAIL
with attached
invoice. This form may also be faxed to 248-230-7656.
OPTION: SEND INVOICE BY REGULAR U.S. MAIL
PAYMENT METHOD:
CHECK
VISA or MASTERCARD
PURCHASE ORDER
P.O. #
