NAME  
ADDRESS 
CITY/STATE/ZIP  
PHONE:  
EMAIL: 

CLASS LEVEL TO ATTEND       BASIC     INTERMEDIATE

BUSINESS/ORGANIZATION  NAME  
Group Rate for 10 or more from business/organization
                                                                     $10.00 off per person           # people

Group Registration:
When registering as a group, submit one registration form with Business Info. 
When sending printed form with payment for class, include a list of names of attendees.

(1)  Print a copy of this form and mail with your check for registration to:
KeVa Co.
3904 Goshen Road Bradford Vermont
802-222-4401;  802-363-0895 (cell)
http://www.kevaco.com  ;  info@kevaco.com

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(2)  Please submit this form , click below: Register