Enrollment and Payment Form Master Rug Cleaner Advanced Rug ID Boot Camp January 24-‐25, 2014
Do you already own a copy of A Comprehensive Guide to Oriental & Specialty Rug Cleaning? ❏ Yes ❏ No Name/Company:_______________________________________________ Mailing address: _____________________________________________ City: ________________________________________________________ State/Province/Postal Code: _____________________________________ E-‐mail: _____________________________ Phone: __________________ PAYMENT INFORMATION: Due December 1, 2013 $800 first attendee; $600 second attendee, same company ❏ Payment in full by check payable to: Master Rug Cleaner c/o Oriental Rug Cleaning Co. 3907 Ross Avenue Dallas, TX 75204 ❏ Full Payment by credit card ❏ $200 deposit by credit card and $200/month until balance paid Master Card, Visa or AMEX Expiration date: _______________ Card Number: _________________________________V-‐Code________ Name on Card: _______________________________________________ Credit card billing address (if different from mailing) ____________________________________________________________ Total Tuition: ______________ Date: _____________ Signature ________________________________ Master Rug Cleaner -‐ 3907 Ross Ave. Dallas, TX 75204 -‐ Fax 214 821-‐9136 ellen@dallasrugcleaner.com