Registration for Internet 101

Internet 101 Registration Form

Name:
Email Address:
Mailing address
City, State, Zip
Best phone to reach you:
Is this phone a:	Home Work Cell/Mobile
What do you want your class to include?	E-mail basics Search engine basics Website navigation Other
Please tell us something about yourself and what you want to learn from the class.
I want to register for:

Payment for Internet 101 is required at the time the form is submitted. Credit card payment through PayPal is the preferred method of payment. Checks are also accepted, payable to Urbs In Horto Communications, Inc.

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