EXPRESS HAM RADIO CLASS ENROLLMENT


Name:
 
Address:
 
City:     State:     Zip:     Country (if not US):
 
Phone:     E-mail:


You are enrolling in the Technician Ham Radio Class held at Dayton Hamvention, Saturday, May 18, 2013.
The course package is $149. This includes:
  1. Course Book
  2. Work Book
  3. Access to On-Line Course
  4. Class on May 18th, 9AM-4PM, in Dayton, OH.


Credit Card Payment information

Master Card and Visa Card payments accepted on-line.


Credit Card Number: - - -
Expiration (mmdd only - no "/" or "-") :     CVV (3 digit number on back):
Name on card:
Address on card:
City:     State:     Zip:
 


STOP!! CHECK AGAIN!
Make doubly sure that all of your information entered above is correct!


When you are sure that all of the information is correct, then click on SUBMIT.   ONLY CLICK ONCE!
You will get a confirmation screen that the enrollment has been submitted.