Class Registration

Please complete and submit the following form.


First Name:*
Last Name:*
Address:*
Address(2):
City:*
State:*
ZIP:*
Phone:*
E-Mail Address:*


Would you like to be notified of upcoming shows in which I will be participating?
Yes!   Please add me to your mailing list.

 

You have indicated that you would like to register for the following class:
    Class Name:  
    		 Face Your Fear of Faces With Susan Fisher
    Class Date:
    		 Saturday, May 18
    Class Time:
    		 10:00 am to 4:00 pm with lunch break
    Location:
    		 701-B Southlake Boulevard
    Fee:
    		 $100

Payment Method:
check      credit card or PayPal    


Do you have a discount code?
No      Yes     



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