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Mail This Form To:
A to Z Computer Office Training
1700 S.E. Mile Hill Dr., Suite 201
Port Orchard WA, 98366
Phone and Fax enrollments - Toll Free - 1-800-368-3171 /
Fax=360-876-5562
Please read the enrollment agreement before you print and fill out the
form below, and if you opt for a payment plan please read the payment
plan policy now.
Testing
All testing will be completed
online, you will need an internet connection for this. |
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Please note: On all
prices here in, add $35.00 non-refundable registration fee. |
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Date____________________ |
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Name:
___________________________________ |
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Address:
_________________________________ |
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City:
________________________ State: ______________________ Zip:
____________ |
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Country:
_____________________ Phone Number: ______-_______-______-______ |
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Email:
_______________________ SS#: __________-______-________ |
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SHIP TO (if different
than above): |
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Name:
___________________________________ |
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Address:
_________________________________ |
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City:
_________________________ State: ____________________ Zip:
______________ |
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Country:
_____________________ Phone Number: ______-_______-______-______ |
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Email:
_______________________ SS#: __________-______-________ |
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PLEASE WRITE DOWN YOUR
PRODUCT SELECTION/S: |
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______________________________________________________________ |
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______________________________________________________________ |
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Domestic Shipping:
FedEx 2 Day Service
[ ]$25.00 / [ ]$35.00 for combined material
[ ]$15.00 / All single books |
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International Shipping:
[ ]$155.00 / FedEx International Priority (best option)
[ ]$100.00 / FedEx Worldwide Express (good option)
[ ]$40 Canada |
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Calculate Your Order:
Product Amount: $_______________
Shipping: $_______________
Registration $_____$35_______
TOTAL $_______________ Enclose this amount. |
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[ ] I have read and
agree with the enrollment agreement
Signature______________________________________________
PAYMENT METHOD:
[ ] Check [ ] Money Order [ ] Mastercard [ ] Visa [ ] American Express
CARD NUMBER: ________-________-________-________
Expires:________/________
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