MTWerks.com
2409 Brook Crest Dr.
Mesquite, TX 75150
Fax 972-613-6799

Fill in the form below to register

SEMINAR REGISTRATION FORM

CLASS DATE July 10, 2004

Name:

Address:

City:,State: Zip:

Phone:

email:

Session: (1,2, or both)

On a scale of 1-10 (10 being an expert), how would you rate your skills in MS Word:

Clicking submit (below) will reserve your place and lock in the pre-registration price for the next seminar. It only submits the enrollment information above. reservations are secured by one of the payment options below. Unpaid reservations are subject to class space availability.
Payment Options

If paying by check, stop here, submit enrollment information, and print form. Mail this form along with your check to the address above.

If paying by credit card, choose from the following options:

  • FAX - Submit enrollment information, print form, fill in credit card information below and fax to 972-613-6799
  • MAIL - Submit enrollment information, print form, fill in credit card information below and mail to address above.
  • ON-LINE - Stop here, submit enrollment information without credit card information. Then click the "checkout" button to make secure payment
    •

    Payment Enclosed

    Charge my Credit Card

    Card # Exp. Date:

    American Express

    Mastercard 

    Visa

    Discover

    Amount to charge  $30.00 Session I   or    $40.00 Session II   or     $60.00 Session I and II