CLASS REGISTRATION: NOW OPEN.
Register in person, by phone or by mail using form below.
Print this form from your web browser, fill it out and mail it with
your check, OR fax it with your credit card number (we accept Visa, MasterCard, & Discover)
Seminole Sampler
71 Mellor Avenue Catonsville, MD 21228-5106
Telephone: 410-788-1720 Fax:
410-788-1784 (Business Hours Only)
NAME: _______________________________________________________________ ADDRESS:_____________________________________________________________ CITY:________________________________ STATE:_____ ZIP: ______________ HOME PHONE:_______________________ WORK PHONE:_______________________ Credit Card #________-________-________-________ Exp. Date:____/____ Credit Card CCV#_____ (a 3-4 digit code from the back of the credit card) CLASS TITLES 1)________________________________________________ FEE______________ 2)________________________________________________ FEE______________ 3)________________________________________________ FEE______________ TOTAL (DUE AT TIME OF REGISTRATION) - $________________ |
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_________ I have read and agree to the Refund Policy listed above. initial blank above |