Part Time Program Application Form
PLEASE PRINT AND MAIL TO ABOVE ADDRESS:

NAME_______________________________________________________

ADDRESS___________________________________________________

CITY______________STATE________________ZIP__________________

TELEPHONE _________________________________________________

DAY______________________E-MAIL____________________________

PLEASE ENROLL ME IN THE FOLLOWING WORKSHOPS:

DATES ______________________________________________________

_____________________________________________________________

_____________________________________________________________

NON-REFUNDABLE REGISTRATION FEE: $ 50.00

DEPOSIT FOR EACH WORKSHOP(S) $ _______________

TOTAL ENCLOSED $ __________

My check is enclosed:

__________ Full payment for course(s) listed above.
__________ deposit for workshop.
__________ $50 dollar one time *annual* registration fee. This is not part of the class fee (see payment information).

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____________________________________________