UPCOMING CLASSES:
Register Online:
Name:
Full
Mailing
Address
:
Phone:
Class:
Card Type:
Card Number (No Spaces):
Expiration Date:
Cardholder Name:
Cost:
Discount Reason:
Bethel Safety Associates
How did you hear about this class?
Comments/Special Requirements
10% Discounts available: 
Early Bird (Register and pre-pay at least 7 days prior to class)
Sullivan County Chamber or Tri-State Chamber of Commerce Members Senior Citizen (Over 50) Student (K-12 or College) (Does NOT apply to Babysitter classes) Active/Retired Military Masonic (includes Masons, Shriner, Eastern Star, other affiliated organizations) Note: Only one discount per person
Email:
Less Discount:
Total Due:
CANCELLATION POLICY: Cancellations less than 72 hours prior to class will incur a $10 cancellation fee. If paid by check, you recieve a refund check in mail. If paid by Credit Card, your card will be charged $10.
