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Free Class Day Proposal Form

* Required Fields

Instructor Information

First Name:

Last Name:

Business:

Street Address:

City:

State:

Zip:

Phone Number:

Email:

Proposed Class

Class Title:

Short Class Description:

Preferred Class Time/Location (please select all times and locations you are available to teach.)

Time:

      9:00am–10:00am    10:15am–11:15am    11:30am–12:30pm    1:00pm–2:00pm    2:15pm–3:15pm

Location:

      Andover     El Dorado

Length of Class:

      1 – Hour     2 – Hour

Willing to Repeat Class?:

      Yes     No

Required Classroom Set-up

And Classroom Set-Up Requirements (If there is no set-up needed please type "none"):

Required Class Supplies

     Quantity
 

1)   

Ordering
Number

Description
 

Approx.
Price

Suggested Vendor
and Address


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