Training Class Enrollment Form

Company Name

Address

City

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Zip/Postal Code

Telephone Email: Fax

Contact Person: 

Location of Selected Class:   Dates of Class: 

Number of Students Attending:  1 2 3 4 5 6

Names of Students: 

Main Areas of Interest:

Automotive Interior Repair

Furniture Repair

Commercial

Marine

Aircraft

Jackets, Clothing & Purses

Other

Subjects You Would Like to See Demonstrated:  

Leather Repair

Vinyl Repair

Velour/MicroFiber Repair

Leather Care & Cleaning

Automotive Dash Repair

Plastic Repair

Other  (Please Specify) 

Payment Method:  Check   Credit Card

Type of Card:  Visa MasterCard American Express Discover

Card Number:  Exp Date:  CVV No.: 

Please Mail Checks to:

Leather Magic Inc.

1396 Walkup Ave.

Monroe,  NC  28110

800-232-4092