Registration Sheet
all fields required

Please fill out the following information, print, and send by Certified Mail with Check or Money Order to:

ACME Learning Products
127 South 150 East
No. Salt Lake, UT 84054

School Registration Fee $100 Yes No
$

 
Student Study Text* Quantity X $10.00
$

 

 
Subtotal $
Ship to: Bill To: (if the same, leave blank)

Name:

Name:
Address: Address:
City: City:
State:
Zip:
State:
Zip:
     
School Info:  
School Name: School Phone:
School Address: School Fax:
City:  
State:
Zip:
 
Advisor Name:  
Advisor E-mail:  
Telephone Number:  
* Student Study Texts will be sent by Return Mail

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