California academy CFAA 申込書

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CFAAの入会を希望します。
*は必須項目です。

PERSONAL INFO

Name of Applicant*


first	last

Address*

street address, apt/suite #

city

state Zip code

country

Phone no.*

area xxx-xxxx

e-mail*

CLASS INFO

Type of Class(Check any applicable classes)*

	Fresh Flower Arrangement		Dry Flower Arrangement		Art Flower
	IKEBANA		Shadow Box Art/Decoupage		Others

Selection of Course (Check any applicable courses)*

	Elementary Course		Intermediate Course		Advanced Course
	Instructor Course		Others

Upon CFAA's official acceptance to my application, I will follow further procedures as required by CFAA in order to complete the arrangement for admission.

QUESTIONNAIRE:
I am providing the following information to CFAA for your reference: (Check any applicable ones and state the information if any)
	I have learned Flower Arrangement in the past years/months
	I have learned Shadow Box/Decoupage in the past years/months.
	I became to know CFAA from one of my friends/acquaintances.
	I became to know CFAA from any Advertisement in Telephone Book
	I became to know CFAA from any other Advertisement (specify here: )
	I want to learn Flower Arrangement for my hobby.
	I want to learn Flower Arrangement for my business purpose.