MIAMI DADE COLLEGE - WEST

*** REGISTRATION PAGE ***


Date & Time Location Contact Numbers

* November 9, 2010
* 8:00am to 5:00 p.m.

Miami Dade College, West
3800 N.W. 115th Avenue
Room 1101
Doral Florida 33178
Attention: Maite Delgado

» Map for West
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Phone: 305-237-8509
Fax: 305-237-8917
 
FIRST NAME:
LAST NAME:
PHONE NUMBER:
CPA NUMBER:
ENROLLED AGENT:
FAX NUMBER:
E-MAIL ADDRESS:
 
CHECK NUMBER:
 
     
COMPANY NAME:
ADDRESS:

 
CITY:
STATE:
ZIP CODE:
 

All monies ($99 per person) should be mailed to:

Miami Dade College, West
3800 N.W. 115th Avenue
Room 1204
Doral Florida 33178
Attention: Maite Delgado