Registration Form

STEP 1: Choose Your Method of Registration

Tuition: $99         Student: $20   

Fax: 412-561-0191
Phone: 412-260-5240
Email: info.mashainc.com
Mail: MASHA 
4008 Alden Drive
Pittsburgh, PA 15220

STEP 2: Complete the Registration Form

Name ____________________________________________

Title ____________________________________________

Company ___________________________________________

Address ____________________________________________

City ____________________________________________

State __________________ Zip _________________

Phone ____________________________________________

Fax ____________________________________________

Email ____________________________________________
 

STEP 3: Choose Your Method of Payment

Check or Purchase Order: Make payable to MASHA

Credit Card: Visa   MasterCard   AMEX    Discover (Circle one)

Amount: $___________________________________________

Credit Card #: _______________________________________

Cardholder’s Name: _________________________________

Expiration Date: ______________________________________

Signature: ____________________________________________