PLEASE PRINT AND MAIL TO ABOVE ADDRESS:

NAME_______________________________________________________

ADDRESS___________________________________________________

CITY______________STATE________________ZIP__________________

TELEPHONE _________________________________________________

DAY______________________EVENINGS_________________________

E-MAIL ADDRESS_____________________________________________

PLEASE ENROLL ME IN THE FOLLOWING WORKSHOPS:

DATES ______________________________________________________

_____________________________________________________________

_____________________________________________________________

TOTAL ENCLOSED $ __________

My check is enclosed:

____ Full payment for course(s) listed above.

Please send me information about:

____ Full Time Furniture Making Program

____ The workshop series

____ Lodging

____ Local activities, shopping, events, cultural, etc.

____ This is a gift, please send to:

NAME_________________________________________________

ADDRESS______________________________________________

CITY________________STATE_________________ZIP________

SIGNATURE____________________________________________