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 July 12th Basic Cabinet Making August 9th Intermediate Cabinet Making July 12th Intermediate Cabinet Making August 9th Advanced Cabinet Making October 7th Advanced Shaker Desk Making October 7th Advanced Fundamentals Class October 7th

          Please identify and describe yourself:

Age
Sex	Male Female
ID Number