Register for Classes at The Learning Exchange or Join our Mailing List 

 
 
 
You may register for classes or join our mailing list by printing this page and mailing the form to the appropriate contact for your class.

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The Learning Exchange Class Registration Form

Name: ______________________________

Home Phone: ____________________

Work Phone: ____________________

Address: ______________________________

City, State, Zip ______________________________

Internet Email :______________________

Class Name: ___________________________________________

Date: _____________________________

Total Enclosed $ ____

Master Card and VISA Accepted

Card Number ______________________________

Expiration Date: __________

Signature: ___________________