BCOM Effective Cycling Road I Registration Form

To register for one of these classes, print out this form, fill it out and mail it with a $20 deposit to reserve your place to

BCOM Education Programs
214A Broadway
Cambridge, MA 02139

Be sure to mark the class for which you are registering on the form. The balance is due at the first class session. Checks are payable to BCOM. The course fee is $60, or $50 for BCOM or CRW members, students, and low-income people. You will receive confirmation with directions to the site. For more information, contact Paul Schimek at (617)494-3601 or schimek@volpe2.dot.gov


___ SESSION 977 -- Cambridge
    Saturday, Sept. 27, 9:00 - 2:30
    Sunday, Sept. 28, 9:00 - 2:30

___ SESSION 978 -- Cambridge
    Saturday, Oct. 4, 9:00 - 4:00
    Sunday, Oct. 5, 1:00 - 4:00


Name: ___________________________________________________

Address: _________________________________________________

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Day Tel: __________________________

Eve Tel: __________________________

Email: ____________________________

Where did you find out about this program? _________________________________