Teacher Certification Registration
Credit Card Payments Only

Location:

Name:

Address:

City:

State:

Zip Code:

Phone:

E-mail Address:

How did you hear about this training?

	From a friend		Alumni
	From the Sulky Newsletter		Ad in your Guild Newsletter
	From a Sulky Representative at a Consumer Event		Follow Your Dream Ad
	Other (Please fill in)

Is this your first certification with Sulky of America?

Yes

If you are a Sulky Certified Teacher Alumni (someone who has attended one or more previous Sulky Certified Teacher Trainings) YOU receive a $100 Sulky Merchandise Voucher when you sign up and attend this new, motivating course curriculum. (This voucher cannot be combined with other vouchers or coupons offered, except the Friend Voucher - see "Friend" question below.)

Are you a National Traveling Educator for a sewing machine company?

Yes

If so, which company?

Will you be attending with a friend?

Yes

Friend's Name:

Bring a friend (who has never before attended a Sulky Certified Teacher Training), and YOU will receive a $50 Sulky Merchandise Voucher, which you can use to purchase your favorite Sulky sewing products at training! Only you will receive this $50. The friend listed here will not. Your friend can however earn their own $50 voucher by completing their registration and listing a friend of their own (other than you) who has never before attended. (This voucher cannot be combined with other vouchers or coupons offered, except the Alumni Voucher - see first question above.)

Will you be staying at the hotel?

Yes

Do you have any food allergies?

Yes

Please list food allergies below

A $100 non-refundable deposit is required at time of registration. Balance is due 3 weeks prior to training.

For your convenience, we will also charge your card for the remaining balance 3 weeks before your training unless we receive your check for the balance before then.

*Please be advised that the classroom is Non-smoking.

Amount Paid:

$499-(In Full)

$100-(Deposit)

Cardholder's Billing Information

Card Type:

Card Number:

Expiration Date:

Security Code:

Credit Card Security Code Visa, MasterCard, Discover and American Express
	The card validation number is printed on your Visa, MasterCard & Discover cards in the signature area of the back of the card. (This is the last 3 digits located AFTER the credit card number in the signature area of your card).
	American Express cards show the card validation number printed to the upper right of the imprinted card number on the front of the card.

Use information above

Name on card:

Billing Address:

City:

State:

Zip:

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Sulky of America
980 Cobb Place Blvd., Suite 130
Kennesaw, GA 30144
Phone: 800-874-4115
Fax: 770-429-3987
info at sulky.com

Copyright© 1997-2010 Sulky® of America

Last modified: August 13 2010.

Teacher Certification RegistrationCredit Card Payments Only

Teacher Certification Registration
Credit Card Payments Only