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REGISTRATION FORM
  - WINTER SESSION - 2010


NAME ________________________________

ADDRESS _________________________________

_________________________________________________

_________________________________________________

PHONE:

home ________________________

cell    ________________________

fax      ________________________

office _________________________

Morning class (10AM-1PM)   January  26, February 2, 3, or 4
Evening class (6:30-9:30PM) January  25, 26, 27, or 28

[ ... you pick a starting day/night and then come every other week for the four classes]

CLASS Start Date___________CLASS Time_________ AM -or- PM (circle one)

2nd Choice: Date_____________Time___________ AM -or- PM

[   ] Check enclosed $
110
.00 for WINTER 2010 COURSE
(Make check payable to: Ursula's Cooking School, Inc.)

[   ] Visa or Mastercard # ________________________ Exp. _____/______

This course includes 4 sessions with 7-9 receipes each session.

Pork - Poultry - Seafood - Surprise

MAIL TO:

URSULA'S COOKING SCHOOL, INC.
1764 CHESHIRE BRIDGE ROAD, N.E.
ATLANTA, GEORGIA  30324
TELEPHONE: (404) 876-7463
FAX: (404) 876-7467