CLASS REGISTRATION FORM
Acorn Street Shop, 2818 NE 55th St., Seattle, WA 98105
(206) 525-1726
Class Choice & Date(s):_________________________________
NAME:_____________________________________________
ADDRESS:__________________________________________
DAY/EVE PHONE:___________________________________
Credit Card ___________________Check Enclosed________
Credit Card Account # ______________________________
Exp. Date _________________
Signature ________________________________________