Class Registration

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Registrant Information

Name
Address 1
Address 2
City	State Zip

Phone Number	-
Work Number	-
Other Number	- (i.e. pager, cellular)
Drivers License #	State
Date of Birth
Email
Class Date Requested

Credit Card Information (Optional)

Card Type

Card Number
Expiration Date
Security Code

Credit Card Billing Address

Name
Address 1
Address 2
City	State Zip
Phone Number	-

Comments/Other

Refund Policy:
In order to avoid a rescheduling and/ or cancellation fee of $100.00, you must notify FMTND 7 days prior to your scheduled class start date. If you are late you will be dropped from the class, you may reschedule for an additional cost of $100. There are no refunds after the first day of class.

read and understand the refund policy terms and conditions