Filling out the Registration Form
	In order to print and fill out the registration form, RIGHT-CLICK the entire form and then hit Control-P on your keyboard. Make sure the page is set for 100% size. That will print out the form if your computer is Windows-based. I'm not sure how to do this on MAC systems but you can figure it out.

Class Registration Form

(Please Print) Name: ____________________________________________________ Address: ____________________________________________________________ City: ________________________________ State: _____ ZIP: ________________ E-mail address: _______________________________________________________ Phone (day): __________________________ (evening): _______________________ Cell (optional): _________________________ Eight Week Class & Starting Date Tuition: $360 plus materials Please check Day Classes______ or Evening Classes______ ________________________________________________________________________ Two Day Weekend Workshop & Date Tuition: $180 plus materials ________________________________________________________________________ Three Day Weekend Workshop & Date Tuition: $270 plus materials ________________________________________________________________________ Specialty Weekend Workshop & Date Tuition: $ plus materials ________________________________________________________________________ One-on-one Appointment Date Tuition: $30 per hour plus materials ________________________________________________________________________ Tuition Total: _________________ (One-on-one to provide a $30 deposit only) If paying by check, make payable to: Ruthie Cohen / MMSJL Pay by Check: _____ Check # __________ Pay by Charge: __ MasterCard __ VISA __ Discover __ American Express Card #: ___________________________________________ Exp. Date: __________ Name on Card _____________________________________________ V-Code on back: _____ Upon receipt of this form via mail or fax, we will confirm your reservation. Due to limited class sizes, we will not deposit your check or charge your credit or debit 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: MMSJ&L, 197 Locust Ct, Arden, NC 28704 or FAX this form back to: (928) 268-9418