
July 15 - September 24, 2015
Wednesdays @ 8:00 PM
REGISTER
Number of Persons:
Names of People Attending:
$45 per person
$75 per couple
Text Book Included
PAYMENT AMOUNT:
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PERSONAL INFORMATION
Address:
Phone Number:
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Cell Phone:
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Email: *
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PAYMENT INFORMATION
Card Type: *
Exp Month: *
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Exp Year: *
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