CREDIT CARD FORM - FALL SESSION 2010
(For mail order registration, please fill out this form and mail it to the address below.)
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MOVERS
AND SHAKERS: Ages newborn through four years, with parent or
caretaker.
Each
10 week session is $170.00. Each sibling is $120.00.
"Sign Up With A Friend" Discount - Click Here!
EARLY BIRD SPECIAL - $160/$110 BEFORE SEPTEMBER 10th
No classes November 11 and November 25 |
Mondays, 10:05 - 10:50 am
September 20 - November 22
University Heights Center
5031 University Way NE |
10 Class Session: Fee $170.00 EARLY BIRD: $160
10 Class Session: Sibling Fee $120.00 $110 |
Wednesdays, 9:05 - 9:50 am
September 22 - November 24
Mt. Baker Community Club
2811 Mount Rainier Drive South |
10 Class Session: Fee $170.00 EARLY BIRD: $160
10 Class Session: Sibling Fee $120.00 $110 |
Wednesdays, 10:05 - 10:50 am
September 22 - November 24
Mt. Baker Community Club
2811 Mount Rainier Drive South |
10 Class Session: Fee $170.00 EARLY BIRD: $160
10 Class Session: Sibling Fee $120.00 $110 |
Thursdays,
10:05 - 10:50 am
September 23 - December 9
University Heights Center
5031 University Way NE |
10 Class Session: Fee $170.00 EARLY BIRD: $160
10 Class Session: Sibling Fee $120.00 $110 |
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Registration and Credit Card Information |
Child's Name:
(Sibling Name) |
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Child's Birthday:
(Sibling Birthday) |
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| Parent's First Name: |
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| Last Name: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Daytime Phone: |
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| Email Address: |
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| "Sign Up With A Friend"* |
........((Optional. See "Sign Up With A Friend" Page for details!) |
| Credit Card Number: |
........((Visa/Mastercard Only) |
| Expiration Date: |
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| Security Code: |
........................................................ What's the Security Code? |
To send this registration, hit the "send it in" button. If you're concerned about security,
or would just prefer to register via mail, you can also fill in all the information,
print out the form, and sent it to:
Mulberry Bush Music and Movement
9102 17th Avenue NE
Seattle, WA 98115-3212 |
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 About
Security
You might have
noticed we are not using a secure server for this form.
Technically, sending your credit card information should
be safe all the way to our mail box. However, although
it's unlikely and there is no record of it ever
happening, there is always a chance that the information
can be intercepted. In fact, although we were planning to
change the form submission policy to a secure page, in all of the cases of stolen credit cards that have
been documented, none were obtained through Email
communications; they were all stolen from html pages on
"secure" sites. Anyway, if you would prefer not to send
your credit card information this way, please fill out
everything EXCEPT the actual credit card number.
Then, call (206) 686-2201, and leave your name, credit
card number, and expiration date on the Message
Machine.Of course, you can always print out this page,
with all of the information filled in, and mail it to us
at the address above.
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| For More Information
Feel free to
contact us at:
Mulberry Bush
Music
9102 - 17th Avenue NE
Seattle, WA 98115-3212
Phone/Fax: (206)
686-2201
Email: info @ mulberrybushmusic.com
Teachers
Hilary @ mulberrybushmusic.com
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