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2012 ENROLLMENT APPLICATION *Please print this form and mail (with your check) or fax (with your charge card info) to us.* I would like to enroll in the term opening: February 4-12, 2012 June 2-10, 2012 August 4-12, 2012 November 3-11, 2012
I understand the tuition is $1295.00 (US
funds), which includes all instructional materials, a course in
basic auctioneering and a diploma (if I qualify). Enclosed is my
$100.00 deposit to apply toward my tuition and to reserve my space
in the above-marked class. The balance of $1195.00 will be payable
upon entering school, unless I choose to pay the balance in full 14
days prior to the class I have chosen and that amount will be
$1095.00. If for any reason I am unable to attend this term, it is
agreed this $100.00 deposit will apply toward any other term I
choose to attend.
If I choose not to attend any future class, the $100.00 deposit is non-refundable. Name: ____________________________________________________________ (please print your name exactly as it appears on your driver's license and social security card) Nick Name: ______________________ Date of Birth: (Month) _____ (Day) _____ (Year) _____ Street Address: _________________________________________________________________ City: _______________________________________ State: _______ Zip: __________________ Phone: (Home): ___________________________ (Business): ___________________________ Email address: _________________________________________________________________
Method of Payment: Amount Enclosed: $______________________ Check Money Order Visa MasterCard Discover American Express Card Number: _____________________________________________ Exp. Date: _____/_____ Card Holder Name: ______________________________________________________________ Card Holder Signature: ___________________________________________________________ |
