Crystal Conference
and Expo 2009
March 20 - 22

OnLine:
Monthly newsletter plus courtesy updates and reminders
Class/Course Registration Form
It's easy to register!
Just print out this page, fill in the information and mail it or fax it to:
FourWinds Academy
4157 Crossgate Drive
Cincinnati , Ohio 45236
Fax: 513.891.1648
To enroll, provide the following information -
and please use a separate form for each course registration.
Course Name: _____________________________
Date: ________________
Course Fee: $ _______
Material Fee: $ _______
Optional Donation: $ 20.00
Registration Total: $ _______
Student Information:
Name: ________________________________
Address: ________________________________
City: ________________ State : __________ Zip: ________
Phone #: _________________ Email: _____________________
If paying by credit card (MasterCard, American Express, or Visa), please include the following information:
Card number: _____ _____ _____ _____
Expiration: ___/___
If paying by check, please make checks payable to FourWinds Academy .
Cancellation Policy - Cancellations will incur a charge of 10% of the course fee
If you have any questions, please call us at 513.542.4400
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