Please note: To view the cost of all the courses click on On line Registration below

Five Ways To Sign Up For Any Classes or Courses

To register by • Phone • Fax • Drop In •Mail and to print out a copy of this registration form, scroll down.
For On line Registration, click here.

Please have your Visa or Master Card number ready
Payment & registration confirmation will be sent to you by mail

Phone: 780.448.0817
 Toll Free: 1.800.330.5999

Please fill in the order form and include your Visa or Master Card number, expiry date and name of the cardholder. Payment & Shipping confirmation will be sent to you by Fax and by Mail.
Facsimile: 780.922.1147

You may drop off your order list at our office.
Please call for location.

Fill in one application per person,
indicate method of payment and mail to:

ANNY SLEGTEN
P.O. Box: 3294
Sherwood Park, Alberta T8H 2T2
CANADA

On line!
Just click here or on the image of the mouse on the left
to view all courses and costs or to register on line!

----------------------------------------------------

Registration Form
(any courses)

 Date:_____________________________

Name: (Print)_____________________________________________________________________________

Address:__________________________________________ City:_____________________________

Province, State: _________________ Country: ________________ Postal Code, Zip Code: __________

Phone: (Home) __________________ (Work): ______________________ Fax: __________________

Courses Requested
Course # and Name Dates Fees GST 5% Total
         
         
         
 

Grand Total

  
 

Amount Enclosed

  
Cheque or Money Order
Please make all cheques or money orders payable to "Success and More"
 c		 Cash (Drop In Only)
c		 Master Card
c		 VISA
c
Credit Card # _____________________________ Expiry Date:______________________

 Cardholder Name: _________________________Cardholder Signature:_________________________

Please note: Payment by credit card will show as "Success and More" on your statement