ITC Lesson Registration Form
| You may print this form and fax, mail or call us with class and credit card payment information. |
| By Fax: | Indianapolis Tennis Center 317.278.0628 24 hours a day, 7 days a week |
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| By Mail: | Indianapolis Tennis Center 150 University Blvd. Indianapolis, IN 46202 |
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| By Phone: | For Visa, Mastercard, Discover and American Express users, you may call the Registration Coordinator at 317.278.2100. Please have registration information and credit card information ready. Thank You! |
| Name: | |
| Address 1: | |
| Address 2: | |
| City: | |
| State / Province: | |
| Postal Code: | |
| Home Phone: | |
Work Phone: |
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| Emergency Contact: | |
| Emergency Phone: | |
| Date Of Birth: (if under 18) |
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| Class Name: | |
| Class Number: | |
| Amount Owed: | |
| Payment Method: | |
| Check Number: | |
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Registrations by mail, phone or fax using Credit Cards must include
the following information. |
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| Credit Card Number: | |
| Expiration Date: | |
| Signature:_____________________________________ |