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This is the REGISTRATION FORM

First Name Last Name Age Email Street Address City Province/State Country Postal Code/Zip Code Area Code Home Telephone Area Code Fax # Area Code Work Phone #  ext What type and length of study are you interested in? Building Repairs 1 Yr Masters Live Sound Course  Buzz Feiten Course Length? 2 weeks 4 weeks 8 weeks  3 months 4 months 5 months 6 months 1 year Other__________  Have you any previous experience building guitars? yes   no If yes, please describe: What are your goals for attending this school? Do you have any medical condition that may interfere with the use of power tools or attendance? If yes please explain: Are you taking any medication that may interfere with the use of power tools or attendance? If yes please explain: $200.00 NON-REFUNDABLE Registration Fee for US and International Students, and a $100.00 NON-REFUNDABLE Registration Fee for Canadian Students.  PLEASE INDICATE WHICH SESSION(S) YOU ARE REGISTERING FOR (pick one): janfebmaraprmayjun julyaugsepoctnovdec PLEASE INDICATE AN ALTERNATIVE SESSION IN CASE YOUR FIRST CHOICE IS FULL (pick one): janfebmaraprmayjun julyaugsepoctnovdec Comments/Questions: Thank you. We will contact you soon.