REGISTRATION FORM FOR CAZENOVIA, NEW YORK SEMINAR

Deposit required:  $25.00  -  This amount can be applied to your tuition. 

Print and complete this form and  MAIL TO:

DORIS ACKILLI, DIRECTOR - P O BOX 189 - SOUTH SALEM, NEW YORK, 10590

NAME__________________________________________TELEPHONE______________________________________

ADDRESS_______________________________________EMAIL__________________________________________

CITY,STATE/PROVINCE_________________ZIP/POSTAL___________

ROOMMATE____________________

Enclosed:___________________________

FIRST CLASS CHOICE:_____________________________________________________

SECOND CLASS CHOICE:___________________________________________________

THIRD CLASS CHOICE:____________________________________________________

If you are flying to Cazenovia, make your plans to fly into Syracuse Airport.  The school van will pick you up.