CONTACT INFORMATION:
Full Name:
Email Address:
Cell Phone #:
Mailing Address:
CLASS RELATED INFO:
Do you have a "Domain Name"?	Yes
If YES, what is the Domain Name?
What company owns your domain name?
Are you familiar with MS Word?	Yes
Access to a laptop with wireless internet capability?	Yes
Access to a digital camera?	Yes
Does your camera have removable Memory Card?	Yes
Does your camera have video capability?	Yes
Do you have any specific questions before the class?
How would you like to pay for this class?	Check Credit Card