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REGISTRATION FORM
  - FALL SESSION - 2010


NAME ________________________________

ADDRESS _________________________________

_________________________________________________

_________________________________________________

PHONE:

home ________________________

cell    ________________________

fax      ________________________

email _________________________



Morning class (10AM-1PM) September 21, 28, 29 or 30
Evening class (6:30-9:30PM) September 20, 21, 22 or 23

[ ... you pick a starting day/night and then come every other week for the four classes]

CLASS Start Date___________CLASS Time_________ AM -or- PM (circle one)

2nd Choice: Date_____________Time___________ AM -or- PM

[   ] Check enclosed $
110
.00 for FALL COURSE
(Make check to: Ursula's Cooking School, Inc.)
[   ] Visa or Mastercard # ________________________ Exp. _____/______

This course includes 4 sessions.

MAIL TO:

URSULA'S COOKING SCHOOL, INC.
1764 CHESHIRE BRIDGE ROAD, N.E.
ATLANTA, GA 30324