|
Registration Form
Mail to: 5425 Southside Dr., Amarillo, TX 79109
By: November 1, 2003 (If your payment is received after class is filled, it
will be returned.)
__________________________________________________________
Name (print)
__________________________________________________________
Mailing address
_________________________ ___________ _______________
City
State Zip
__________________________________
Email
Please enclose check, money order, or credit card information:
(No cash please.)
__ $25 deposit enclosed (Balance of $200 is due first day of workshop)
Card no._____________________________________Exp. date______/______
__Master Card __Visa
Signature_________________________________________________________
What medium will you use?
__Oil __Pastel __Other ________
What is your portrait experience level?
__Beginner __Intermediate __Advanced
What do you most want to learn from this workshop?
______________________________________________
______________________________________________
|