SHAEC Class Registration
Please fill out form to register for a class
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Name, First and Last *
Address: Street  or PO Box
Mailing address town   / Town of residence (please list both, if different)
Phone Number *
Email
Class Name *
Date *
MM
/
DD
/
YYYY
Time
時間
:
Location *
Any other comments or requests/suggestions for additional classes?
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