ONLINE REGISTRATION FORM

Fields marked with an '*' are required!

*Name:
*Address:
*Email:
*Phone:
Cell:
Occupation:
*Class Date:
Referral:

A $100.00 Refundable Registration Fee is necessary to ensure placement in the next available class. The total cost of the program is $2150.00. Payments are paid in increments of $350.00 per weekend. Visa, MasterCard and PayPal are accepted through the online registration form. The book fees and testing fees are paid by check at class time.

6 weekends in total at $350.00 per weekend
Textbook fees of $50 are due the first day of class
Click on the button below to pay the $100 Registration Fee using PayPal

A PayPal account is NOT REQUIRED to pay by credit card online.

Click on the button below to pay the $350 Initial Class Fee using PayPal

If you would prefer to register by mail, print the registration form and mail it to Susan along with your payment to the address on the form. 

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The Lexington Hotel Cliffbreakers Riverside Resort