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Future Students Paul Smith's College

Adirondack Woodsmen's School Summer 2013

STUDENT INFORMATION (all fields are required):
Name:  
Gender:  
Address:  
City:  
State:  
Zip Code:  
Home Telephone:  
Cell Phone:  
T-shirt Size:  
Your Pant Size:  Women's   Men's
Email Address:  
Do you have any special needs? Please explain. :  
WOODSMEN'S SESSIONS:
  Please select your choice of Sessions. Costs indicated include tuition, lodging, meals and all course fees and materials. Please Note: We cannot make any refunds after July 7th, 2013.
   Session I: July 7-13, 2013[Beginner]. Fee $1095
   Session II: July 14-20, 2013[Intermediate]. Fee $1095
   Session I and II: July 7-20, 2013[Beginner and Intermediate]. Fee $1995
CREDIT CARD INFORMATION:
Total Charges:  
Type of Card:  
V Code:    3 digit code on back of Visa cards
Name on Credit Card:  
Credit Card Number:    Ex: 1234567891234567
Expiration Date:  Month:      Year:
**   the above amount be charged to my credit card.
Please Note: We cannot make any refunds after July 7th, 2013
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