BLANK REGISTRATION FORM

REGISTRATION FORM 

Registration and tuition must be received by Noon April 20th.

Late registration fee - $15.00 – applies for ALL if payment not received by April 20th .

 

Registration received before before noon April 20th

ARE Member $55

Non-Member $65

 

Registration received after at noon April 20th

ARE Member $70

Non-Member $80

 

NAME  _________________________________________________________________________________

 

ADDRESS______________________________________________  E-MAIL _________________________    

 

CITY, ST, ZIP___________________________________________  PHONE (_____)___________________  

 

 

PAYMENT:  Register on-line at ­­­­­­www.areevents.exactwebsites.com/jackson-ms.html

or mail your check made out to A.R.E. to address below.  

If no e-mail for confirmation, include self-addressed stamped envelope

so it can be mailed to you.

 

PLEASE...... 

INCLUDE FULL NAME, ADDRESS, E-MAIL

AND PHONE FOR EACH ATTENDEE

 

Make checks payable to A.R.E. 

Mail registration and payment to:

Marlene Duet, Registrar

20051 Narrow Road

Covington, LA 70435

 

 

Cancellation policy: Full refund if before April 20th; after April 20th

& prior to April 23rd  $15.00 withheld;

No show; no refund.

 

 

 

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