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Registration Form
First Name:
Last Name:
Gender:
M
F
Date of Birth:
Phone Number:
Cell Number:
Address:
Postcode:
City:
E-mail
Driver licence Number (optional):
Course date:
2 Weekend Course Timings from (9:00AM-2:30PM)
MAY26,27,JUNE2,3/2012
JUNE 9,10,16,17/2012
To Ensure your space please
Stop by 2528 Dougall Ave Windsor, ON N8X 1T6
Mail cheque to: 2528 Dougall Ave Windsor, ON N8X 1T6
Pay in the classroom on the first day of the course
Please call me back for more information
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