Register for Series 2 - September 2017

Name

Address

City

Phone (cell)

Phone (other)

Email

Deposit $633 by e-transfer to mexicalisue@aol.com

The cost of the course, all materials, and exams is $1900, with a $633 deposit payable on registration.

Payment can be made by one of the following methods:

• Visa, Master Card, American Express or Discover cards for the whole amount.
• An interest free loan through three equal e-transfers of $633 the first on registration and the second on the first weekend and the third on the last.
• A cheque for the remaining amount.
• Payment of remaining amount by credit card on the first weekend of the course.

The deposit should be made through e-transfer to mexicalisue@aol.com and registration will not be considered complete until the e-transfer is made.

I understand that I am taking a place on this course which another may have taken and that the fee non-refundable except under emergency circumstances (medical or close family) and that the remainder of the fee is an interest free loan that must be repaid at the stated times and is non-cancelable once the course begins and that return of this form and the deposit is acceptance of this condition. If the full fee is paid on registration $633 (equal to the deposit) is non-refundable except under the same circumstances as the deposit.

I would like to pay the full amount now with my credit card

Credit Card #

Name On Card

Expiry Date

Security #
(3 digits)

Billing Address

Electronic Signature
(please type in your full name)

Photograph emailed to Jim Meadows

(Jim says you will be forever known as “oy you” if you don’t send a picture.)

Security word for e-transfer is

(spam protection)