Weekend Workshops & One on One Instruction Registration Form
(Please Print) Name: _______________________________________________________
Address: _____________________________________________________________________
City: ___________________________________________ State: _________ Zip: _______________
Email Address: _____________________________________________________________
Phone (Day): _________________________ (Evening):________________________
Cell : __________________________________
Three Day Weekend Workshop- Tuition : $405 (18 hours of instruction @ $22.50 per hr. plus materials and a lab fee of $7)
DATE: ___________________ Title: ____________________________________________
Orion Welder Weekend Workshops- Tuition: $195 for TWO DAYS of instruction. DATE: ________________________
Orion Welder One on One Instruction- Tuition: $185 per day for each student. DATE: _______________________________
Payments
If paying by check, make payable to MMSJL Check #__________
Pay by Charge: MasterCard ___ VISA___ Discover____ Amex______
Card #:______________________________________________ Exp. Date:_______
Name on Card ___________________________________ CVV Code________
Billing Address & Zip Code if different from mailing address:______________________________________________________________
All class reservations require a $25 deposit with this registration form. Upon receipt of this form via mail or email, we will confirm your reservation. Due to limited class sizes, we will not deposit your check or charge your credit card if we cannot fill your class request. CANCELLATION POLICY: Students who cancel last minute after being accepted will be charged a $25 administrative fee. No refunds will be made after the starting date of a class. Classes without a minimum number of registrations may be cancelled and a full refund will be due to students. You may MAIL this form back to: Ruthie Cohen c/o MMSJL, 197 Locust Ct. Arden, NC 28704 or email this form to: ruthie@mmsjl.com
(Please Print) Name: _______________________________________________________
Address: _____________________________________________________________________
City: ___________________________________________ State: _________ Zip: _______________
Email Address: _____________________________________________________________
Phone (Day): _________________________ (Evening):________________________
Cell : __________________________________
Three Day Weekend Workshop- Tuition : $405 (18 hours of instruction @ $22.50 per hr. plus materials and a lab fee of $7)
DATE: ___________________ Title: ____________________________________________
Orion Welder Weekend Workshops- Tuition: $195 for TWO DAYS of instruction. DATE: ________________________
Orion Welder One on One Instruction- Tuition: $185 per day for each student. DATE: _______________________________
Payments
If paying by check, make payable to MMSJL Check #__________
Pay by Charge: MasterCard ___ VISA___ Discover____ Amex______
Card #:______________________________________________ Exp. Date:_______
Name on Card ___________________________________ CVV Code________
Billing Address & Zip Code if different from mailing address:______________________________________________________________
All class reservations require a $25 deposit with this registration form. Upon receipt of this form via mail or email, we will confirm your reservation. Due to limited class sizes, we will not deposit your check or charge your credit card if we cannot fill your class request. CANCELLATION POLICY: Students who cancel last minute after being accepted will be charged a $25 administrative fee. No refunds will be made after the starting date of a class. Classes without a minimum number of registrations may be cancelled and a full refund will be due to students. You may MAIL this form back to: Ruthie Cohen c/o MMSJL, 197 Locust Ct. Arden, NC 28704 or email this form to: ruthie@mmsjl.com