This section is for payments over and above the usual $25 class deposit. These are for your convenience. BUY A GIFT CERTIFICATE OR MAKE A PAYMENT: Pay $95.00 for class in full for NEW licensee or GIFT CERTIFICATE: Pay $75.00 for class in full for RENEWAL licensee: Pay $70.00 (after deposit) balance for NEW licensee: Pay $50.00 balance (after deposit) for RENEWAL licensee:	To Request a gift certificate For GIFT CERTIFICATES for the course please prepay the $95.00 to the left, then fill out this form. I will mail a gift certificate on the next business day. If you are prepaying for yourself, and don't need a gift certificate issued, just make the payment, do a regular registration on the "Registration & Deposits" page, and skip this form. Your First Name  * required Your Last Name  * required The name of the person receiving the gift as you want it to appear on the actual certificate:  * required The name giving the gift as  it will appear on the certificate:  * required To whose name should the gift certificate be mailed? The address to which the certificate should be mailed:  * required Apartment # of Suite #: City:  * required State:  * required ZIP:  * required The certificate should be mailed to whose attention? Giver Recipient