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| 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: ___________________
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