Summer 2010 Session Registration Form

Please print clearly

Name ____________________________________________________

Address __________________________________________________

City ________________________ State ______  ZIP _____________

Phone _________________Email _____________________________

I wish to enroll in the following ATM class

 Wednesday evenings (6 to 7 pm) begins July 21

 Thursday mornings (9:30 to 10:30 am) begins July 22

 Friday mornings (9:30 to 10:30 am) begins July 23

 Tuesday evening Manistee (6:15 to 7:15 pm) begins August 31

$40 per series

$50 per series Manistee

Make check payable to Judith Dila and mail with registration form to:

Judith Dila

310 N. Ferry Street

Ludington, MI 49431