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Educator Club Purchase form

 

School Information

 

School Name   

School Address

School City, State, Zip

Your Name

Your Phone

Your E-mail

District Training Coordinator Name

D.T.C. Phone

D.T.C. E-mail

 

Student Enrollments

 

Student 1

Name

E-mail

Club Type

Price

   
Student 2

Name

E-mail

Club Type

Price

   
Student 3

Name

E-mail

Club Type

Price

   
Total Price*

 

Additional Registration Information

 


Payment Information

(Select Payment Method)

Credit Card

 

 Type of Card

 Card number

 Name on card

 Expiration Date
 Last 3 digits on back

 Additional Pro Card

 Information

 Address to Mail Paid Receipt:

      School
      Street Address
      City, State, Zip
      Attention

Invoice

 Agency Name
 Billing Street Address
 Billing City, State, Zip
 Individual to Invoice

 Purchase Order Number

 (Please fax over PO upon registration to  

 (859) 266-3290)

 Additional Invoicing

 Information

 

Payment is due 30 days from the date of enrollment


Club Member Agreement & Enrollment Policy
Club Memberships are valid until the end of August 2007.  The  Club membership is valid for the student in which it is assigned and may not be used by any other person.  Classes are on a first-come, first-serve basis.  Seating is limited.  We urge you to register for classes as soon as possible.  Classes may be scheduled as follows:

  1. By sending an email to rick.kendall@nhlexington.com.  Please inclue in the email the student's name, email address, and the class or classes they are signing up for.

If a class is full, you may be placed on the waiting list.  You will be notified only if cancellations occur and space is available.  Please arrive at New Horizons 20 minutes prior to class start to ensure proper check-in and seating.  If you are more than 15 minutes late for class, your seat may be given away.  If you anticipate being late, please call New Horizons and notify the receptionist.  Your seat will be held up to 30 minutes from the start of class.  If you are more than 30 minutes late, you will not be admitted into class.

Cancellation Agreement
If you cannot attend a class for which you hold a reservation, please notify New Horizons at least TWO business days prior to the date of the class.  Club Members may be assessed a $50 fee per class if cancellation is not received as outlined above.  The $50 fee must be paid before taking any other classes.  If you can not attend, please cancel as soon as possible.  We will confirm your attendance approximately seven days prior to class as clients on the waiting list need time to arrange their schedules.  If any emergency arises inside of the seven-day window, please call and cancel immediately to accommodate others on the waiting list.  You may repeat classes of the same version at no additional cost as many times as required within your membership time period.

I have read and understand New Horizons’ Club Membership Agreement.  I agree to pay the $50 cancellation fee if I do not attend or properly cancel a class in which I hold a reservation and I understand that the cancellation fee must be paid before I can attend any future classes.

I have read and agree to the cancellation policy stated above. 

 

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Please only click the Send Registration button once, it may cause a duplicate registration. 


Thank you!

 

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1050 Chinoe Rd. Suite 208  Lexington, KY 40502