Print this form. Bring or mail completed form to office.
Workshop Registration Form
| Name |
| Address |
|
| City/State/Zip |
| Phone |
| E-mail |
Workshop Selections
| Workshop Name: |
| Instructor Name: |
Fee: $
|
| Workshop Name: |
| Instructor Name: |
Fee: $
|
| Workshop Name: |
| Instructor Name: |
Fee: $
|
| Workshop Name: |
| Instructor Name: |
Fee:$
|
| Workshop Name: |
| Instructor Name: |
Fee: $
|
For payment by Visa/Mastercard/Discover:
CC#
Valid/Good thru Date:
|
| Total Workshop Fees: $ |
| Total Enclosed: $ |
|
