Printable Registration Form
Summer 2008 Program - Vestal, NY
This form may be printed and mailed to:
The American School of Classical Feng Shui
PO Box 983
Vestal, NY  13851-0983
 
Name ______________________________________________
 
Address ____________________________________________
 
City ________________________ State _____ Zip __________
 
Phone _______________ E-mail ________________________ 
 
Name as it should Appear on Certificates (if different from above) ________________________

I am registering for:          

            __ The Full 10-Course Program. 

                                __ Payment of $1,599 enclosed ($1499 until end of April;
                                    $1399 until end of March)

                                __ A $99 deposit is enclosed.  I will pay balance of $1,500 at the first class.

            __ The Following Individual Courses:   1   2   3   4   5   6   7   8   9   10       

                                __ Payment of $189 each is enclosed.  

                                __ A $99 deposit is enclosed.  I prefer to pay as I go.

            __ Professional Certification.  Exam & processing fee of $239 is enclosed ($199 until end of April). 

PAYMENT BY CHECK OR MONEY ORDER

Check or money order should be payable to:  The American School of Classical Feng Shui
 
PAYMENT BY CREDIT CARD (Visa, MasterCard, or Discover)

To pay by Visa, MasterCard, or Discover, please provide the following information:

            Credit Card # ______________________________    Exp Date ____________
           
            Name as Appears on Card _______________________________________
           
            Credit Card Billing Address (if different from above address) ______________________________________________________________________________________________