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Filling out the Registration Form

 

In order to print and fill out the registration form, hit Control-P on your keyboard. That will print out the form if your computer is Windows-based. For MAC systems, hit Command-P


 

(Please Print) Name: _______________________________________________________

Address: _____________________________________________________________________

City: ___________________________________________  State: _________  Zip: _______________

Email Address: _____________________________________________________________

Phone (Day): _________________________  (Evening):________________________

Cell : __________________________________

 

Three Day Weekend Workshop- Tuition : $405  (18 hours of instruction @ $22.50 per hr. plus materials and a lab fee of $6)

DATE: ___________________ Title: ____________________________________________

 

Orion Welder Weekend Workshops- Tuition: $150 for TWO DAYS of instruction. DATE: ________________________  

 

 Orion Welder One on One Instruction- Tuition: $100 per day for each student. DATE: _______________________________

 

Payments

If paying by check, make payable to MMSJL   Check #__________

Pay by Charge: MasterCard ___ VISA___ Discover____ Amex______

Card #:______________________________________________ Exp. Date:_______

Name on Card ___________________________________ CVV Code________

Billing Address & Zip Code if different from mailing address:______________________________________________________________

 

All class reservations require a $25 deposit with this registration form if not paid in full.  Upon receipt of this form via mail or email, we will confirm your reservation. Due to limited class sizes, we will not deposit your check or charge your credit card if we cannot fill your class request. CANCELLATION POLICY: Students who cancel last minute after being accepted will be charged a $25 administrative fee. No refunds will be made after the starting date of a class. Classes without a minimum number of registrations may be cancelled and a full refund will be due to students. You may MAIL this form back to: Ruthie Cohen c/o MMSJL197 Locust Ct. Arden, NC  28704