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Registration form

Please print this form out and mail it to the address listed below.

Please complete and return it with the appropriate tuition to:

The Way of the Dragon
P.O. Box 14561
East Providence, RI 02914

To register for classes or workshop at
The Way of the Dragon, please:

  1. Fill out this form.
  2. Print it out.
  3. Mail with tuition payment.
    To register with Credit Card,
    you may also call
    (401) 435-6502,
    or fax this form to
    (401) 435-3743.
Name:
Street:
City:
State:
Zip
Phone: Fax:
Email Address:

Family Rate:

First person full price, others
25% off regular price.
(Not valid for workshops.)

Yes, please reserve a space for me in your

Class/Workshop:
Start Date(s):
Time:

Billing Amount/I have enclosed
$

Payment Options:(please check one)

Check Money Order
Visa Master Card
If you are paying your tuition with
a credit card, please complete the
credit card section.
Credit Card #:
Exact Name on Card:
Expiration Date:
Comments: