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Unity Care Training Center

Course Registration Form

3 Ways to register for a course:

  1. Submit this form online and mail a check to the Unity Care Group Training Center (237 Race Street, San Jose, CA 95126), or pay via phone with credit card.
  2. Print this form and mail to Unity Care Training Center with payment, or pay via phone with credit card.
  3. Fax this printed form to (408) 971-9820 and mail payment to Unity Care Training Center or pay via phone with credit card.
Last Name: First Name:
Company Name: Position:
Company Address:
Company Phone: Company Fax:
Mailing Address:
E-mail:
Course Selection:
Date:
Payment Method:

Note: Your registration is not confirmed until the Unity Care Training Center receives payment. Payment and registration must be received 14 days prior to class. Registration fee is non-refundable but can be credited toward other classes.

Please make checks payable to: Unity Care Group Training Center
Mail to: 237 Race Street, San Jose, CA 95126
For more information, or to make a payment over the phone, call Brianne Tavarez at (408) 971-9822.

  

 

 

 

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