The Mc Nally Institute Book Division

16321 Kalli Way

Dade City, Florida 33523

PHONE: (352) 567 7128 FAX: 352 567 7528

E-mail: mcnally@mcnallyinstitute.com

 Correspondence Course Enrollment Form

Applicant's name ____________________________________________

Street_______________________________________________________

City ______________________ State ____________ Zip ______________

Phone __________ E-mail ______________________ Fax ____________

 

Company name ________________________________________

Street_______________________________________________________

City ______________________ State ____________ Zip ______________

Phone __________ E-mail ______________________ Fax ____________

 Payment can be made by check or credit card:

____VISA OR ___MASTERCARD

Credit card number _____________________________ Expiration date _________

Please check the course you would like to receive:

.

Pump Troubleshooting $49.95 + $3.00 postage

.

Seal Application $49.95 + $3.00 postage

.

Check or money order is attached.

For additional applicants, please make a separate copy of this form

Link to Mc Nally home page