Registration Form

Name

Address

Telephone

e-mail address

Workshops

1 class: $90; 2 classes $175; 3 classes $255: 4 classes $330 New Student $45 each class

Please enter the total here:

If paying by Visa or MasterCard:

Card Number:

Expiration Date

CCV Code

Signature: ___________________________________________

Please print this form and mail to: