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 Company:
_______________________________________________
Attendee(s): _____________________________________________ _____________________________________________ Mailing address: ______________________________________________ City/State/Province: _____________________________________________________________
Postal Code: _____________________________________
E---mail: _____________________________________________
Phone: __________________
PAYMENT INFORMATION: $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 Master Card, Visa or AMEX
Expiration date: ____________
Card Number: ______________________________________ 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