SHAEC Class Registration
Please fill out form to register for a class
Name, First and Last *
Your answer
Address: Street or PO Box
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Mailing address town / Town of residence (please list both, if different)
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Phone Number *
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Email
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Class Name *
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Date *
MM
/
DD
/
YYYY
Time
Time
:
Location *
Any other comments or requests/suggestions for additional classes?
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