 |
|
|
|
| |
|
|
|
First Name: |
|
Last Name: |
|
|
Gender: |
|
Date of Birth: |
|
|
Phone Number: |
|
Cell Number: |
|
|
Address: |
|
|
Postcode: |
|
City: |
|
|
E-mail:
|
|
|
Driver licence Number (optional): |
|
|
Course date: |
|
|
|
|
To Ensure your space please |
|
Stop by 13422 Tecumseh Rd. East, Unit:C3 Tecumseh,
ON H8N 3N7 |
|
Mail cheque to: 13422 Tecumseh Rd. East, Unit:C3 Tecumseh, ON H8N 3N7 |
|
Pay in the classroom on the first day of the
course |
|
|
|
Please call me back for more information |
|
|
|
|
|
|
|