Registration Form

Students who will be financed for school by their Doctor, Hospital or Government Agency MUST make payment "in full" at the time of enrollment. 

Please fill in your information below. This is just a preliminary registration form. A staff member will respond with additional instructions about enrollment and class dates. (Required fields are marked with asterisks *)

First Name           *

Last Name            *

Address                *

City                        *

State                      *

Zip Code               *

Daytime Phone    *

Evening Phone    *

Class Date            *

E-mail Address    *

Please click on the Submit button when finished.

If you have any questions please call 469-682-8768 or 214-938-1721

 MBCTI observes all national holidays.  

 
 

   © 2003 mbcti

       webmaster@mbcti.com