C. J. FORD PRIVATE INVESTIGATIONS
2736 W ORANGETHORPE AVE # 1F
FULLERTON, CA 92833-4288
714-776-6504 OFFICE 714-776-8355 FAX
e-mail: cjfordpi@mac.com
web site: www.cjfordpi.com

CLASS REGISTRATION FORM
LAST: ___________________ FIRST: ________________
MIDDLE: _________________ SR/JR _________
SOCIAL SECURITY NUMBER: ______________ DOB: __________
SEX: ___________ CONTACT NUMBER: ___________________
ADDRESS: __________________________________________
CITY: ____________________STATE: ____ ZIP: _______
OTHER PHONE: _______________ E-MAIL: ________________
This program is a “Registered Short Term Career Training.” Grades or credit units do not
apply to this program. Any career class that you take you will receive a certificate stating
that you attended and finished the program. This program is registered through The State Of
California, Council For Private Postsecondary and Vocational Education.
Class Code: sywtbapiClass Date: ___________________
Instructor: C. J. Ford Jr. Approval Code: ________________
Total Fees: $ 1500.00
I have read understand and agree to the terms of this course:
Date: _____________ Student: ______________________