Date _____________________________________________________________
Name _____________________________________________________________
Street Address ___________________________________________________
City ___________________________________________________
State/Province ___________________________________________________
Zip/Postal Code ___________________________________________________
Phone ____________________
Email _______________________________
Make and model of stenotype machine ______________________________
_________________________________________
Registration Fee (one-time) - $ 75.00
12 Weeks ($85.00 x 3) - $255.00
Total - $330.00
________________________________________
Method of Payment:
| ___ | PayPal (stenotypetutor@yahoo.com)
| ___ | Money Order payable to: Grant Morrison
Signature: _____________________________________________