Student Registration Form

          Please provide the following contact information:

          * Required Fields:

*First Name
*Last Name
Middle Initial
*Organization	Select One BNI Chrysler Ford/Visteon General Motors Other
*Street Address
*City
*State
*Zip/Postal Code
*Home Phone	*Use Dashes (123-456-7890)
E-mail

          Please select class you want to register for:

*Select One

Select One Basic Cabinet Making September 17 th Basic Cabinet Making November 19th Intermediate Cabinet Making November 19th Advanced Cabinet Making November 19th

          Please identify and describe yourself:

Age
Sex	Male Female
ID Number