Enrollment and Payment Form Master Rug Cleaner Advanced Rug ID Boot Camp January 29-30, 2016
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, 2015 $995 first attendee; $795 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@masterrugcleaner.net