Enrollment Form

Click here for 2008 Enrollment Form

You can reserve a space with a Visa or Mastercard by phone (719-632-5173). Or, supply the requested information below, then
click the CREATE FORM FOR PRINTING button (bottom of this page) to create a printable enrollment form to mail or fax us.

Name:
Address:
City:	State/Province:
Country:		Zip/Postal code:
Daytime Phone:	Evening Phone:
Email:

Select below whether you already own a Barnett's Manual DX CD (or 5th Edition):

If not, would you like us to have a DX CD waiting here for you?
($120 plus tax)

Or, if not, would you like one shipped to you before class?
($120 plus postage - not processed until reservation accepted)

Check box next to each program in which you wish to enroll AND select a date for each checked program:

Bicycle Assembly & Maintenance ($220 reservation charge)
Spoked-Wheel Lacing (no reservation charge required)
Bicycle Repair & Overhaul ($385 reservation charge)
Effective Sales of Service (no reservation charge required)
Managing the Service Department (no reservation charge required)
Suspension Service & Tuning ($145 reservation charge)
		($100 reservation charge required)

Select whether you will you need lodging while attending the programs that you want to attend:		Please visit our BBI-Lodge page if you need more information.
If yes, select check in date (if different than current selection)
If yes, select check out date (if different than current selection)
If lodging is needed, will any additional guests be staying in the room with you (spouses, kids, friends, etc.)? (adds $5 per night to lodging cost)
If lodging is needed, will you have one or more bicycles with you? (requires $200 damage deposit - fully refundable)

If your employer or other organization is paying all or part of your tuition, please fill out the following:

Employer/organization:

Contact person:

Address:

City: State/Province:

Zip/Postal code: Country:

Contact phone: Contact fax #:

Briefly describe your education and/or current career.

Select the options below that most closely reflect your mechanical experience (bicycle or non-bicycle).

Home bicycle: Bike shop: Non-bicycle professional:

What do you primarily hope to achieve through taking this class?

Select the below options that best describe your cycling experience.

To help us reduce the amount of automated junk mail we receive, please enter the code 123BBI (case sensitive) in the box below.

Click CREATE FORM FOR PRINTING button, then print the page that is created. You are NOT making
a reservation by clicking this button. You can reserve a space with a Visa or Mastercard by phone
(719-632-5173), or simply print the enrollment form and follow the instructions at the top of page 1.