WORKSHOP PRE-REGISTRATION -
JUNE, 2011
At this time, the PayPal secure payment feature is not yet enabled. If you wish to register for
one or more workshops, please check the appropriate box(es). The deposit for the
workshop(s) - or the full fee - can be mailed (check only, made payable to The Gallery at
Clarke's, please--no cash mailed), dropped off in person, or you may telephone or email your
credit/debit card information for processing. (Appropriate confirmation numbers and receipts
will be provided.)
Please select your workshop by checking the appropriate box.
*Your name:
*Address:
*Your email address:
*Your phone number:
Comments/
Questions:
*All fields except 'Comments' are required.