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Registraion Form
This form is for a free course with The C Institute.
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Email
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Last Name
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First Name
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Conatct Number
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Your answer
Best Time
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Morning
Afternoon
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Contact Prefernce
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Phone
Email
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Credit Counseling
Tax Preparation
Business Class
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Briefly discuss your intrest in this course.
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Race
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Black or African American.
Asian.
White.
American Indian or Alaska Native.
Native Hawaiian or Other Pacific Islander.
Other:
Annual Income
*
$10,000 and below
$10,000 - $20,000
$20,000 - $30,000
$30,000 - $50,000
$50,000 - $75,000
$75,000 and over
Other:
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Date
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