Registration Form


 

RETURN THIS COMPLETED FORM WITH YOUR PARTICULARS, AND A SELF-ADDRESSED ENVELOPE TO:

7 Hayden St. suite 207s Toronto Ontario M4Y 2P2
Payables made to Alza 44films Ltd

Name:
Address:
City:
Province:
Postal code:
Home Telephone:
Other Phone:
Email:
Agent info:

Class ID#:




Instructor:
Start Date/Time:
Private Classes:

Membership:



Code Verification

 

  
 
 

NOTE: Both cheques/money orders should be made out to Alza 44films Ltd.  and must be dated THE DAY YOU APPLY. They will be deposited upon receipt to confirm your acceptance.  You can also pay by credit card or debit.


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