alternative sighup form

Welcome To Photo-Seminars
Alternative Enrollment Form
No information contained on this form will be sold, shared or otherwise reveled to any third party. Photo-Seminars has a NO SPAM policy!

US & Canadian Enrollment:
Mail: (checks or money orders)
Media West
PO Box 2849
Gearhart, OR 97138 USA
Fax: (credit card orders only)
1.503.717.9180

International Enrollment:
Send money orders to mailing address

First Name

Last Name

Company

Address

City

State

( Province if other than U.S. )

Country

Zip/ Postal Code

Daytime Phone#:

Email Address

Your User id and Password Will Be Sent To The Above Email Address.

Expertise:

How did you
find us?

Tuition Is Good For One Full Year From Enrollment Date

Tuition:

Credit Card

Card Number

Expiration Date

Name As It Appears On Credit Card

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