CBS Course Form
Fill out the form carefully for registration
Student Name
*
First Name
Middle Name
Last Name
E-mail
*
example@example.com
Mobile Number
*
Format: (000) 000-0000.
County
*
Course Dates
*
Please Select
May 22nd-24th, June 12th-13th (9am-5pm) Flint
Sept 19th-20th, 26th-27th, Oct 3rd (9am-5pm) Ann Arbor
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CBS Course
$
650.00
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Additional Comments
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