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MULTIMEDIA TRAINING

 

Writing4Careers

Digital Media Registration Form

Last Name*:

First Name*:
Age
dd/ mm/ yyyy
Address:
Address (cont.):
City:
State/Province:
Country:
Postal Code:
Telephone (Home)*:
Telephone (Work)*:
Fax:
E-mail*:
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Alternative E-mail(If available):

    Are you at least 18 years of age?                  Yes        No  

    CA Citizen or Legal Permanent Residence?   Yes        No

PROGRAMS

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Start Date:

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(Please see payment details below the registration form)

Cheque
Wire Transfer

PREVIOUS EDUCATION

Name of High School:

OSSD       GED

Graduation Date:

           

Post Secondary Education

Name of College:
Dates attended:
Degree Earned:
Name of College:
Dates attended:

Degree Earned:

Name of College:
Dates attended:

Degree Earned:

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COMMENTS

Field(s) with * should be completed to submit the form.

 

Payment Details:

1. Visa/Master Card/American Express: Please call us at 1-647-430-7478

 

2. Cheque: Cheques should be made payable to "Writing4Careers College" and mailed to us

 

3. Wire Transfer:

 

Credit Credit to: Trust Account of Writing4Careers College, 920 Yonge Str, suite 802, Toronto, ON, M4W3C7, Canada
Bank of Montreal,
5140 Yonge Str, Toronto, Ontario, M2N6L7
Account # 2429-1044-877
Bank # 001
Transit # 24292
Swift Code: BOFMCAM2