To enroll now, contact Ollan Cassell at 317-466-0444 or via e-mail at ollancassell@comcast.net. You may also print this form, fill in the information, and fax it to 317-466-0444 or mail it to: US Track Coaches Diploma, 2045 West 56th Street, Indianapolis, IN 46228

Name: ___________________________________________________________

Address: _________________________________________________________

City: _______________________    State: ______________   Zip: ___________

Phone: ____________   Fax: ____________    E-mail: _____________________

Please enroll me in the following course(s):*

____ Hurdles (Jim Bush & Tracy Mattes)  ____ Throws (Tom Pagani)

____ Middle & Long Distance (Sam Bell,Stan Huntsman & Brooks Johnson)

____ Sprints & Relays (Mel Rosen & Jim Bush)

____ Jumps (Bob Fraley, Berny Wagner, Tom Tellez, Dean Hayes & Joe Walker)

*$29 per course, does not include tests, grading, certificate and diploma

$59 per course with tests, certificate, mailing & diploma

$100 for all 5 courses, on one CD, does not include tests, grading, certificate and diploma

$200 for all 5 courses, on one CD, including tests, grading, certificate and diploma

Shipping & Handling: $7 per order up to 10 CDs, add $7 for each additional 10 CDs

For special handling, call for S&H costs

PROFESSORS/COACHES an exceptional price to universities, colleges and junior college students, testbooks requiring all students to obtain a copy. One CD will be provided along with test, grading sheet and diploma, all directly to the professor/coach

BOOKSTORES eligible for discounts when pre-paid. CD's are returnable if not purchased.

Enclosed is a check for $________ made payable to: US Track Coaches Diploma

Bill my Credit Card $________       Visa ___    MasterCard ___

Card # _______________    Exp. Date ____    Signature: ___________________