Registration Form                                          Print (pdf)

PLEASE PRINT AND FILL IN THE FORM CLEARLY

         Male            Female

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Last Name                                    First Name                                    MI

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Home Address

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City                                             State                                       Zip

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Day Telephone                                          Evening Telephone

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Email Address

 

Date	Topic	Fee
Total Fees
Discount (if applicable)
Total Fee after discount

  Check  (Make checks payable to NR Computer Learning Center)

  MasterCard        Visa           Card No.  ______________________  Exp. date ___________

_______________________________   _________________________________           _______________

           Signature                                        First / Last Name                               Date

WALK-IN: Registrations will be taken at NR Computer Learning Center at 2100 W. Orangewood, Suite 110, Orange, CA by appointment. Call 714.505.3475 to make an appointment.

MAIL-IN: Mail in completed registration form and a check (made payable to: NR Computer Learning Center) to: NR Computer Learning Center, 2100 W. Orangewood, Suite 110, Orange, CA 92868.

FAX-IN / PHONE-IN: Phone or fax in your registrations form.  Fax:  714-505-3476  Phone:  714-505-3475.

REFUND POLICY: Requests for refunds will be honored only if they are made at least (5) working days prior to the start of classes – no exceptions. A $20 processing charge will be deducted from all requests refunds. Material fees are not refundable. Please allow four weeks for refunds to be processed.