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            Spring 2008  
      
      Printable 
      Registration 
      Print, fill out 
      and mail to: 
      Nancy Stewart 
      6505 SE 28th St. 
      Mercer Island, WA 98040 
        Name: 
      ____________________________________________________________ 
      Address: 
      __________________________________________________________ 
      City: 
      _____________________________________________________________ 
      State: ________________________ 
      Zip: _________________________ 
      Phone: _______________________ 
      Class Session Requested: 
      ________________________________ 
      Alternate Class Session: 
      _________________________________ 
      Session Fee: $110 OR deposit of $20
      to hold your place 
      Method of Payment
       Visa 
      MasterCard 
       Check 
      Credit Card #: 
      _______________________________________ 
      Expiration date: _________________ 
      Signature: 
      __________________________________________________________ 
        
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