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Class Reservation Form

INFORMATION

Name: _________________________________________________       Date: __________________________

School: _________________________________________________   Tel no. __________________________

Section: ___________________________Time: ________________    Days: ___________________________

Status : [ ] Old Reviewee         [ ] New Reviewee

PAYMENT

CASH : _________________________________________Php _____________________________

RESERVATION : _________________________________Php _____________________________

DISCOUNT : _____________________________________Php _____________________________

BALANCE : ______________________________________Php _____________________________

Please complete payment on or before: __________________________________________________

____________________________________                            ______________________________________
Enrolled by:                                                                          Student's Signature

Note: Reservation fee is non transferrable.non refundable

OFFICE COPY

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