The Etiquette Class for Adults
       Seminars offered at The Rosen & Peabody Hotels
       Date of Seminar:_______________________

    
  Please print the form and register by mailing or faxing the completed form to the address below.

       Honorific and Name ____________________________________ Date__________
       Position/Title ________________________________________________________
       Company ____________________________________________________________
       Address ________________________________________ E-mail _______________
       City, State, Zip ________________________________________________________
       Phone (work)_________________(home)______________(cell)________________
       Dinner Preference (Circle One):  Chicken or Vegetarian
       Special Dietary Requirements ___________________________________________
       List skills you wish to gain from this seminar and your primary reason for enrolling:
       _____________________________________________________________________
       Where did you first hear about this seminar? _______________________________
       (Please enclose a business card with enrollment form unless sending by fax.)

       Seminar Date:    


Investment $250.00 (US) per person
Cost includes: 7 Hour/2 Part Seminar, Multi-Course Tutorial Dinner,
50 page Illustrated Workbook, Refreshments and Certificate of Completion

         
          (Make checks payable to Academy of Etiquette & Protocol)
         ___ Enclosed is total investment in the amount of $250.00
      
         Method of Payment (Circle One): * Check   Visa   Mastercard   American Express
         Credit Card #_____________________________________ Expiration Date_________
         Name as it appears on the card:________________________ Charge Amount: ________
         Signature _________________________________________Date_________________
 

REGISTER SOON - CLASSES FILL QUICKLY
Reserve Your Space Now  - Confirmation Mailed Prior to Class
Class is Limited in Size
Enrollment priority is based on the order in which form and deposit are received.
*Cancellation must be made 72 hours prior to class time. Fee is non-refundable.


To Register - Send this form along with deposit to:
Academy of Etiquette & Protocol
Post Office Box 608604  Orlando, Florida 32860
Phone 407 884-4130   Fax 407 884-5490   E-mail: information@academyofetiquette.com