WORKSHOP ENROLLMENT FORM
 
  Name:
 ________________________    
  Address:  ________________________    
  Address:  ________________________    
  Phone:
(___) – ____ ______    
  Cell Phone:
(___) – ____ ______    
  Email:  ________________________    
         
    Name of workshop Teacher Price  
 
1.
_________________________ ______________ $____________  
 
2.
_________________________ ______________ $____________  
 
3.
_________________________ ______________ $____________  
     
Subtotal:
$____________  
     
Total:
$____________  
         
    Make check payable to: Renata Loree
    Send to address: 8 Learned st, Southborough, Ma, 01772
         
  Your reservation will be made upon receipt of check and form. No refunds or cancellations.
Reservations are based on order received. Some workshops sell out quickly.