ADVANCED X-RAY TRAINING INSTITUTE

"ENROLLING NOW FOR THE JULY CLASS"

Please fill out the information below.

If you are making a payment today,you can make full or a partial payment of your choice.

You can also request more information by filling out the form below and in the comment section simply request

any information you may need.

Or please feel free to call

me anytime.

"Limited Offer"

For a "Limited Time" we are offering

a SPECIAL price of Only $900.

for our July Classes.

Classes fill up fast -- so --- Register Now!!

You can secure your spot in class with a deposit of $100.00

prior to class start date, as classes will fill up fast.

This is a non-refundable deposit as it will be used to initiate each students book orders. This deposit will be deducted from the balance owed for the class.

The student can pay the remaining balance off any way they can,

as long as it is paid off by the time they graduate.

If individual is making payment for Continuing Education please indicate in the "Comment" section the name (or names) of the

individual (s) attending.

Also indicate the date you will be attending.

* * IF THE INDIVIDUAL PAYING FOR THE COURSE WITH A CREDIT/DEBIT CARD HAS A DIFFERENT NAME FROM THE STUDENT, PLEASE INDICATE THE STUDENT'S NAME, IN THE COMMENT SECTION, THANK YOU.

* * * IF YOU ARE PAYING SOMETHING FOR THE COURSE, AND DO NOT WANT TO FILL OUT THE REGISTRATION FORM, PLEASE INDICATE YOUR CLASS SELECTION SOMEWHERE ON THE FORM.

THANK YOU.