Center For Creative Learning - Course Registration

COURSE REGISTRATION FORM


Date:	*
Course Name/Date:	*
Full Name:	*
	M/F: Age: *
Birthdate:	*
Preferred name:	*
Home Phone:	*
Work Phone:	*
Address:	*
City:	*
State:	* Zip: *
Occupation:	*
Referred by:	*
Email:	*
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If you would prefer, you can PRINT this form and MAIL it to Center for Creative Learning 2437 N. Booth St., Milwaukee, WI 53212 - or FAX it to CCL at 414 374-3997 - or TELEPHONE us at 414 374-5433

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For your convenience, click here to download the Taking It Lightly course enrollment paperwork

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The Center for Creative Learning
Offices: 2437 N. Booth Street, Milwaukee, WI 53212
Conference Center: 4650 N. Port Washington Rd,
Jefferson Building, Milwaukee, WI 53212
Map To Our Conference Center
Office Phone: 414-374-5433
Conference Center Phone: 414-332-3656
Fax: 414-374-3997
Outside Greater Milwaukee Area: 800-236-4692
Email Patricia

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	The Center for Creative Learning Offices: 2437 N. Booth Street, Milwaukee, WI 53212 Conference Center: 4650 N. Port Washington Rd, Jefferson Building, Milwaukee, WI 53212 Map To Our Conference Center Office Phone: 414-374-5433 Conference Center Phone: 414-332-3656 Fax: 414-374-3997 Outside Greater Milwaukee Area: 800-236-4692 Email Patricia
Copyright © Center for Creative Learning \| All Rights Reserved. Privacy Statement Website Design and Hosting by Klein Internet