Class Registration Form

Please use your Browser to print this form. To register for classes return your completed form by mail to:

Lama Pamela Holtum
4301 Morningside Road
Edina, MN 55416-5031

or FAX your completed form to (952) 926-5049

______ Check Enclosed (Please make payable to Lama Pamela Holtum.)

______ VISA or ______ MasterCard

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Home Phone Number (Please include when using credit card.):

Your Name (Please Print):

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Address:

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City: ___________________________________ State: ________________ Zip:________________

Email Address:______________________________________________________________________
(To be held in privacy. If you provide your email address we will confirm your registration by email.)

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Course Description                                                  Course#                 Start Date            Tuition

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          Total enclosed __________

 

Please note: Tuition is not tax deductible. Materials fees are due at class for most courses.