Registration Form - CAROLSCAFE.COM

In order Register for a class, complete this Registration Form, and mail to:

Classes @ Carol's Cuisine, Inc. 1571 Richmond Road, S. I., NY 10304

STUDENT INFORMATION

NAME:

ADDRESS:

PHONE #: E- MAIL

PLEASE REGISTER ME FOR THE FOLLOWING CLASSES:

CLASS DATE AMOUNT

I I I

I TOTAL I I

PAYMENT METHOD

CC # EXP

CHECK AMT GIFT CERT #

CREDIT CARD AUTHORIZATION & CANCELLATION POLICY

(This Registration Form must be signed below in order to register for classes)

By signing this Registration Form I agree to comply with Carol’s Cuisine, Inc. 10 Day Cancellation Policy. If paying for Cooking Lessons by Credit Card, I hereby authorize Carol’s Cuisine, Inc. to charge my credit card as payment for the Cooking Classes listed above.

SIGNATURE________________________________________________

You will receive a phone call confirming your Registration upon receipt of this completed Form.