GameSalad Class Registration Form
Three ways to register

1. Register by submitting this form
2. Call- 215-533-8550
3. Register by FAX - 215-535-5497
   
   Complete registration form and submit, fax or email
   *Required Field
   

   FIrst Name* Last Name*

   Email*

   Phone Number* - Home Cell

   Address 1: Address 2: City: State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code

   Date of Birth:

   Company Name:

   Job Title:

   Class Level (choose one) Intro to Game Salad - $150.00 (includes Lunch)      Saturday and Sunday, April 16 & 17, 2011      9:00am - 3:30pm Advanced Game Salad - $400.00 (includes Lunch and a copy of "An Unofficial GameSalad Textbook", By Photics**)      Classes will be held on Saturday and Sunday over the course of two consecutive weekends.      Saturday and Sunday, June 4 & 5, and June 11 & 12, 2011      8:30am - 3:00pm Payment Options (choose one): Check or Money Order Pay Pal or Credit Card

   Complete form and submit OR print and Fax completed form to 215-535-5491
   Register early - class size is limited to 10.
   
   ** "An Unofficial GameSalad Textbook" is a digital text book and can only be used on Ipod touch, Iphone or IPad.