| WORKSHOP ENROLLMENT FORM |
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| 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. |
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