Tree

Williamsburg Area Learning Tree


Registration Form

ALL REGISTRATIONS ARE BY MAIL ONLY; NO TELEPHONE REGISTRATIONS CAN BE ACCEPTED
Your registration payment will be held until the first day of class

Please print this form, fill it out carefully, and mail it with a check to the address below:

Name ________________________________________________________

Address ________________________________________________________

City, State & Zip _________________________________________________

Day Tel. #______________________ Eve. Tel. #________________________

E-mail address: __________________________________________________

Course Title                                 Course Number                                Course Fee*

1. ______________________________________________________________

2. ______________________________________________________________

3. ______________________________________________________________

4. ______________________________________________________________

                                                                                                  TOTAL  $________

Make check payable to:  WUU-WALT
Mail to:    WUU-WALT
                3051 Ironbound  Rd.
               Williamsburg, VA 23185

* Please note Material Fees are to be paid to the instructor at the beginning of the first class.
If you would like a receipt, enclose a stamped, self addressed envelope.

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