Use
this handy coupon to register.
(For classes at our Valatie location only.)
Name_______________________________
Address_____________________________
_______________________________
|
RETURN
AND MAKE
CHECKS PAYABLE TO:
V.I.A. INC.
PO BOX 447
NIVERVILLE, NY 12130 |
PHONE# DAY( )________________ EVENING
#( )________________
CLASS DATE ________________________________________
$45.00 INDIVIDUAL PREPAID___________________________________
$50.00 IF PAID AT DOOR. HOW MANY?_____________
|
NAMES________________________
________________________
________________________
|
PHONE
( )____________________
PHONE ( )____________________
PHONE ( )____________________ |
|
