Address___________________________________________________________________

City, State, Zip_____________________________________________________________

Phone (_________)_________________________________________________________

E-mail____________________________________________________________________

Course Number and Name                            Location                          Cost

_________________________________________________________________________

Subtotal ________________________

Less Discounts ________________________

Total Due ________________________

  Make checks payable to: CREATING EDUCATIONAL MATERIALS

Mail this entire form and payment to:

CEM
27582 120th St.
Staples, MN 56479

For the fastest reply, e-mail your questions to opheimst@msn.com