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NAME:___________________________________________________________________
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TODAY'S
DATE:________/__________/_________
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HOME
PHONE: ( ___ )_______________
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WORK
PHONE: ( ___ )________________
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ADDRESS:_________________________________________________________________
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CITY:_______________________________
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STATE:___________
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ZIP:____________
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CLASS
TITLE:_____________________________________________________________
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CLASS
DAY:________________________
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CLASS
DATE:_______/________/________
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CLASS
TIME:________________________
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AMOUNT
PAID $:_____________________
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Visa______
MasterCard______
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Credit
Card #________________
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American
Express______
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Expiration
Date________________
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Check____
Lic # _________
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State_____
Exp. Date________
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Make
your check payable to: CAKE ART
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Mail check
and form to:
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