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Please
use your browser's PRINT
function to print this page, and BACK
function to return to our web site. Mail your completed form
and payment to:
Angels at Work
24 West Avenue
Spencerport, New York 14559
(585) 349-9983
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Class
Information
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Class
Title ________________________________________ |
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Day
_____ Date______ Time _______
Class Fee $ _____ |
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Registration
Information
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First
Name ____________ Last
Name ____________
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Street
Address ______________________ Apt
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Street
Address 2 ___________________________
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City
__________________ State
____ Zip ______
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Day
Phone ( ___ ) ________ Eve Phone
( ___ ) _______
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Email
Address _________________________________
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Payment
Information
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Personal Check
Enclosed ( Payable To Angels
At Work) |
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Money Order Enclosed (
Payable To Angels At Work) |
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Please
Bill My Credit Card: |
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Master
Card Visa Amer
Ex Discover
Card
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Credit
Card Number_____________________ Expires ____
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Signature
________________________________________
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Acknowledgement
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I acknowledge that I am at least 18 years of age and have
read and understand Angels at Work's Terms
of Service, Privacy
& Security Policy, and Legal
Disclosures presented on this web site. |
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Thank
You!
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Cancellations or changes must be made
by telephone (585-349-9983)
at least one week prior to class or workshop to be eligible for rescheduling.
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