Registration Form     Name: _________________________________________________________ Date:_______________________ Address:____________________________________________________________________________________ City:  ___________________________________________   State:_________________    ZIP: ______________ Phone (Day): ( _____ )______________________        Phone (Evening): ( _____ ) _________________________ E-Mail Address: _____________________________________ @ _____________________________________ (Check One)    [_] Paying by Check (Make payable to CLASS)         [_] Please Charge my Credit Card Card Type: ________________________       Card # ________________________________________________ Exp. Date: _________  Name on Card: _______________________________________ Signature: _________________________________________________________ If you prefer, credit card registrations may be placed by phone at (800) 433-6633 or by FAX at (505) 899-9282.   Amount Enclosed (Please check the appropriate box below) [_] $275, Early Registration     [_] $325, Regular Registration [_] $100 Deposit ($225 due first day of conference) [_] $25 Optional Opening Luncheon (January 30, 2007, reservation must be made by the January 24th) NOTE: Early registration applies if registration is paid in full and postmarked one month prior to the first day of CLASS Career Coaching Conference or CLASS Reunion. Cancellation Policy: Non-refundable deposit of $100 will be retained for administration costs upon cacellation of ADVANCED CLASS registration. Payment Plan: No scholarships are available; however, a payment plan can be arranged for those with financial need. Call Linda at 505-899-4283 for details. Private Consultations (Check One) [_]Writing/Proposals Critique [_]Promotional Materials [_]Media [_]Image Please print this registration form, then mail completed form and check or money order to: CLASServices Inc. 3311 Candelaria NE, Suite I Albuquerque, NM 87107 or FAX credit-card registrations to (505) 899-9282   CLASServices, Inc. Copyright 2001

Additional ADVANCED CLASS Information * * * * * * * Conference Schedule * * * * * * * Tips for making the most of ADVANCED CLASS * * * * * * * Private Consultation Registration Form: Writing/Mentoring Image Media * * * * * * * Code of Ethics * * * * * * * The Yellow Umbrella * * * * * * *