ASL Class Registration

AMERICAN SIGN LANGUAGE I

H0STED BY THE VERMONT CENTER FOR THE DEAF AND HARD OF HEARING (VCDHH)

WHO: Anyone interested in learning beginning American Sign Language
COST: $175 FOR THE CLASS
Please order your book before class starts : http://bit.ly/q6gK66
ASL at Work Student Text and DVD

Your Name (*)

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Your Email (*)

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Organization

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Mailing Address (*)

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City (*)

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State (*)

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Zip Code (*)

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Phone (*)

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Payment should be included with your registration. Please make check or money order payable to VCDHH. If a purchase order is being issued, please attach a copy of the purchase order. Confirmation of registration will be sent to you via US Mail or e-mail, along with book information. Or you can pay online with a credit card by checking the Credit Card field below.

Message (*)

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Mail Registration and payment to:
Vermont Center for the Deaf and Hard of Hearing (VCDHH)
209 Austine Drive Brattleboro, VT 05301

Select the location for your course choice (*)

Location 1 ASL I Brattleboro 03/01/12-05/31/12
Location 2 ASL II Brattleboro 02/29/12-05/30/12
Location 3 ASL III Brattleboro 03/01/12-05/31/12
Location 4
Location 5
Location 6
Location 7
Location 8
Location 9

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Course Fee $175

Total

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Payment method (*)

Paying by Check Paying by Credit Card

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	AMERICAN SIGN LANGUAGE I H0STED BY THE VERMONT CENTER FOR THE DEAF AND HARD OF HEARING (VCDHH) WHO: Anyone interested in learning beginning American Sign Language COST: $175 FOR THE CLASS Please order your book before class starts : http://bit.ly/q6gK66 ASL at Work Student Text and DVD
Your Name (*)	Please let us know your name.
Your Email (*)	Please let us know your email address.
Organization	Please write a subject for your message.
Mailing Address (*)	Invalid Input
City (*)	Invalid Input
State (*)	Invalid Input
Zip Code (*)	Invalid Input
Phone (*)	Invalid Input
	Payment should be included with your registration. Please make check or money order payable to VCDHH. If a purchase order is being issued, please attach a copy of the purchase order. Confirmation of registration will be sent to you via US Mail or e-mail, along with book information. Or you can pay online with a credit card by checking the Credit Card field below.
Message (*)	Please let us know your message.
	Mail Registration and payment to: Vermont Center for the Deaf and Hard of Hearing (VCDHH) 209 Austine Drive Brattleboro, VT 05301

Select the location for your course choice (*)	Location 1 ASL I Brattleboro 03/01/12-05/31/12 Location 2 ASL II Brattleboro 02/29/12-05/30/12 Location 3 ASL III Brattleboro 03/01/12-05/31/12 Location 4 Location 5 Location 6 Location 7 Location 8 Location 9 Invalid Input
Course Fee $175
Total	0.00
Payment method (*)	Paying by Check Paying by Credit Card Invalid Input
Please enter text	Invalid Input