Page 31 - Spring2018
P. 31

Four Ways to Register!www.SussexTechTraining.net  |  Winter/Spring 2018Call 302-856-9035We accept Visa, MasterCard, and Discover!Fax 302-856-7875Send in this registration form to get started today!Stop by & See Usat Sussex Tech Adult Edon Rt. 9 in GeorgetownM-T 8am - 8pm F 8am - 3:30pmCall for Summer HoursMail This FormSussex Tech Adult EdPO Box 351Georgetown, DE 19947Your InformationName:  ____________________________________________Address:  ____________________________________________City:  __________________ State: ___________ Zip: __________Cell: __________________ Birthdate: ______________________Home:__________________ Work Phone: ___________________Email: ____________________________Your ClassesYour Payment[  ] Cash[  ] Credit Card[  ] Check - Payable to Sussex Tech[  ] Third Party Payment (Authorization Attached)Cardholder:  ______________________________________Card Number:  ______________________________________Signature:  ______________________________________Expiration Date: __________________ CCV: _______________


































































































   28   29   30   31   32