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Facebook Fans:    

 ENROLLMENT APPLICATION

First Name 

Last Name 

Phone Number 
 Address
City 
 State 
Zip Code
I would like to enroll in:
Day Class Evening Class
 
Starting on:

New weekday and Flair classes for 2012 starting on:
     January 9 and 23, 2012
     February 6 and 20, 2012
     March 5 and 19, 2012
     April 2, 16 and 30, 2012
     May 14 and 28, 2012

New weekend classes starting on:
     January 7, 2012
     February 4, 2012
     March 3 and 31, 2012
     April 28, 2012
     May 5, 2012

I found out about the Bartending Academy by (check all that apply):

Yellow Pages Poster / Flyer
Friend Radio
Newspaper Television
Bartender Web Search
Other

After submitting this form, you will be contacted by one of our representatives.

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