Fallon & Wilkinson, LLC

Fallon & Wilkinson, LLC

Class Registration Form

Class title

Title

Mrs.

Ms.

Mr.

First and Last Name

Address
[Street]

[City, State & Zipcode]

Phone number

Email address

______________________________________

I would like to receive updates in my email box periodically

Occupation

(optional)

Class experience

This will be my first class with Fallon & Wilkinson, LLC

I have attended previous classes with Fallon & Wilkinson, LLC

Other relevant experience/ interests

Tools
(may be required for some classes)

I am bringing my own tools

I don't have my own tools

How did you

hear about us?

Cancellations are possible up to 5 days before the class with a full refund, save a $50 administrative fee.

Cancellations less than 5 days before the class cannot be accepted and will be charged in full

Please send this form with a check for the class registration fee in full to:

Fallon & Wilkinson, LLC

32 Bushnell Hollow Rd

Baltic, CT 06330

T/F: (860) 822 6790