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Enrollment Agreement Wardrobe/Personal Shopper Certification -- (Approved for 2.4 CEU's) Name_____________________________________ Street_____________________________________ City __________________________ State______ ZIP Code______ Email_____________________________ Telephone: Day____________________ Evening____________________ Charge card VISA ___ MC ____ American Express ___ Charge card number _________________ Exp Date _______________ Name on card _______________________________________________ How did you learn about The ImageMaker, Inc.? Google ____ Yahoo ____ AICI ____ Referral ____ Other
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Refund Policy - No refunds are issued. Signature ______________________ Date _______________
FAX agreement to 615-376-9891
SIGNATURE REQUIRED: Learner: Date______________ Signed____________________________ Please Print & Fax your enrollment to (615) 376-9891 or mail to the address below. This agreement becomes a legally-binding
instrument when signed by the learner and accepted by: The language of this agreement is not negotiable. All disputes must be settled in Nashville, TN. NOTE: The ImageMaker, Inc., Dr. Joyce M. Knudsen, Ph.D., AICI, CIM, President, is the only authorized distributor of any intellectual property (copyrighted material) provided. This material was prepared and is solely owned by The ImageMaker, Inc. This material can only be disseminated or used in any form by anyone after obtaining written authorization from Dr. Joyce M. Knudsen or The ImageMaker, Inc. The material is to be used only for learning purposes. THANK YOU FOR YOUR BUSINESS Call 615-309-8168 Copyright © 2008 The ImageMaker, Inc.
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