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HP-12C CALCULATOR
REGISTRATION FORM

Complete this form
print, sign and
fax it to 480-949-5918.

Tuition:
$40.00 Class only
$120.00 Class and Calculator Combination

Class Location Scottsdale

  Class Only - $40
  Class and Calculator - $120
Class Date: 

NAME:   


EMAIL:   

HOME ADDRESS:   

 

CITY:   

STATE:   

ZIP:   

 

HOME PHONE:   

DAYTIME PHONE:   

CREDIT CARD:   

SECURITY CODE:   

 

         VISA  MASTERCARD  AMEX 

 

 

EXP DATE:   

 


By submitting this form I hereby authorize the Arizona School of Real Estate and Business to charge the amount indicated to the card number which I have provided.

Print this page, sign and fax it to 480-949-5918.


Signature of Student______________________________________ Date_________