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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


Registration- Weekly Classes

 

(Please Print) Name: _______________________________________________________

Address: _____________________________________________________________________

City: ___________________________________________  State: _________  Zip: _______________

Email Address: _____________________________________________________________

Phone (Day): _________________________  (Evening):________________________

Cell : __________________________________

 

Tuition for Eight Week Classes: $540 ($22.50 per hour for 24 hours of instruction)plus materials and a lab fee of $6.  Students are encouraged to supply their own raw materials and stones. However, materials and stones are available for student purchase.

 

Please enter your first choice of day for class- Tuesday, Wednesday

or Thursday: ___________________________________

Eight Week Classes Starting Date: _________________________________

Please check one area of study:  Jewelry Fabrication _________

Wax Carving & Casting ________ Welding  for Jewelry ________

 

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 MMSJL, 197 Locust Ct. Arden, NC  28704