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            <CENTER>
                  <FONT face="Arial, Helvetica, sans-serif" 

            color=#ff0000><I><B>FREE CLASS PREVIEW<FONT color=#666600> AND <font color="#FF0000">OPEN 
                  HOUSE </font> REGISTRATION FORM</FONT> </B></I></FONT> 
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            face="Arial, Helvetica, sans-serif" size=-1>Quick Links:</FONT> <select name="menu" onChange="takemethere()">
                    <option selected>Select Destination</option>
                    <option>================= </option>
                    <option>Schedule of Classes</option>
                    <option>Course Descriptions</option>
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                    <option>Free Class Previews</option>
                    <option>Driving Directions</option>
                    <option>School Catalog</option>
                    <option>Educational DVD's</option>
                    <option>Frequently Asked Questions</option>
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                    <option>Licensing Info</option>
                    <option>Massage CE Seminars</option>
                    <option>Chiropractic CE Seminars</option>
                    <option>Acupuncture CE Seminars</option>
                    <option>Director's Articles</option>
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              <TD vAlign=top width="63%"><FONT face="Arial, Helvetica, sans-serif" 

            color=#405c00 size=-1><B><I><br>
                5648 Vineland Avenue, North Hollywood, CA 91601</I></B></FONT></TD>

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            <DIV align=right><FONT face="Arial, Helvetica, sans-serif" 

            color=#405c00 size=-1><I><FONT color=#a02ca0>Phone:</FONT></I> <I><B>(310) 
                  836-8811</B></I> <I><FONT 

            color=#a828b0><br>
                  </FONT></I></FONT></DIV>

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                        <TD vAlign=top width="2%" height="43">&nbsp;</TD>
                        <TD vAlign=top colSpan=20 height="43" width="98%"><div align="justify"><FONT 

                  face="Arial, Helvetica, sans-serif" color=#666600 

                  size=-1>Thank you for your interest in attending our <strong><font color="#FF0000">FREE</font></strong> 
                            class preview and <strong><font color="#FF0000">FREE</font></strong> 
                            open house session. Please fill out this form completely. 
                            <font color="#993300">You will receive a $50 tuition 
                            waiver certificate once we receive this form</font>. 
                            We may contact you to confirm all the provided information.</FONT></div></TD>
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                        <TD vAlign=top width="2%">&nbsp;</TD>
                        <TD vAlign=top colSpan=20 width="98%"><div align="center"><font face="Arial" color="#666600" size="-1">At 
                            which location would you like to attend a the free 
                            class preview/open house session at? 
                            <select name="Location" id="Location">
                              <option selected>Please choose a location:</option>
                              <option>North Hollywood</option>
                            </select>
                            <br>
                            <br>
                            Which day/time would you like to attend? 
                            <select name="Date/Time" id="Date/Time">
                              <option selected>Please Choose One</option>
                              <option>------------------------------------------------------------</option>
                              <option>Thur, June 5th at 11 am</option>
                              <option>Thur, June 5th at 6:30 pm</option>
                              <option>Sat, June 7th at 9 am</option>
                              <option>Sat, June 7th at 1 pm</option>
                              <option>Thur, July 10th at 11 am</option>
                              <option>Thur, July 10th at 6:30 pm</option>
                              <option>Sat, July 12th at 9 am</option>
                              <option>Sat, July 12th at 1 pm</option>
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                        <TD vAlign=top width="2%">&nbsp;</TD>
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                              <option>=======================</option>
                              <option>Yahoo</option>
                              <option>Hotbot</option>
                              <option>Lycos</option>
                              <option>MSN</option>
                              <option>Natural Healers.com</option>
                              <option>Friend</option>
                              <option>Sign</option>
                              <option>Newspaper</option>
                              <option>Yellow Pages - Pacific Bell</option>
                              <option>Yello Pages - GTE</option>
                              <option>Flyer</option>
                              <option>Other</option>
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                        <TD vAlign=top colSpan=20 height="44" width="98%"><div align="center"><FONT face=Arial size=4><B><FONT color=#993399 

                  size=3><I>Personal Information</I></FONT></B></FONT></div></TD>
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                  size=-1>First name: 
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                  name="First name2">
                            Last name: 
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                        <TD vAlign=top width="2%" height="40">&nbsp;</TD>
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                  size=-1>Street address: 
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                  name="Street address2">
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                        <TD vAlign=top width="2%" height="37">&nbsp;</TD>
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                  size=-1>City: 
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                            State: 
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                            Zip/Postal Code: 
                            <input maxlength=10 size=12 

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                        <TD vAlign=top width="2%" height="43">&nbsp;</TD>
                        <TD vAlign=top colSpan=20 height="43" width="98%"><div align="center"><FONT face=Arial color=#666600 

                  size=-1>Phone: 
                            <INPUT maxLength=13 size=15 name=Phone2>
                            E-mail: 
                            <input name="email2" type=text id="email2">
                            </FONT></div></TD>
                      </TR>
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                        <TD vAlign=top width="2%" height="43">&nbsp;</TD>
                        <TD vAlign=top colSpan=20 height="43" width="98%"><div align="center"><font face=Arial color=#666600 

                  size=-1><font color="#FF0000"><strong>The following are items 
                            that you should bring to the FREE class preview!<br>
                            <br>
                            1) Two (2) large bed sheets (Either flat/fitted - 
                            no color preference)<br>
                            2) One (1) large beach towel<br>
                            3) One (1) small face towel</strong></font><br>
                            <br>
                            Will you be able to bring in all 3 items? 
                            <input name="Terms" type=text id="Terms">
                            Please type in yes or no in the box.</font></div></TD>
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