Just print out this page or the PDF file, fill in the information and mail it or fax it to:
Please write very clearly

Name:__________________________________________________________

Address:________________________________________________________

City_________________________ State:_______________ Zip:___________

Phone Numbers: ____________________ Cell:_________________________

Email: __________________________________________________________

Course or Class Name:_____________________________________________

Date of Course/Class:__________ Tuition: $________ Material Fee: $_________

Optional Donation: $_______ *Payment Plan: Yes No

Total: $_________

If paying by credit card (do not send via email):

Circle card used : Mastercard Visa American Express Discover

Name on Credit Card: _____________________________________________

Billing Address of Card:____________________________________________

(If different from home address)

________________________________________________________________

Card Number: _____________/___________/_____________/_____________

Security Code (on back):_____________ Expiration:______/_______/_______

Make checks payable to FourWinds Academy .
Mail to FourWinds Academy , 7445 FourWinds Drive , Cincinnati OH 45242-5912
Fax to 513-891-0184
FourWinds Academy reserves the right to cancel or reschedule courses and classes.
Cancellation Policy: Written cancellations (email) accepted up to 14 days prior to course or class commencement and incur charges of 10% of the tuition, balance to be credited.
Credit expires after 360 days and can only be transferred once.
Communication is done via email and students are responsible for ensuring that they know the date, time and location of the course/class 7 days before.
Questions: Call (513) 891-8062 or email info@4windsacademy.org