Magic Palette & Skillet Workshops

WORKSHOP REGISTRATION FORM

REGISTRATION FORM for 2009

Indicate the Workshop you would like to attend.  Fill out the form completely, print this page, sign at the bottom and send to the address indicted below.

SEE 2009 WORKSHOPS FOR DETAILS

                                           

             

            

                        Name:  _____________________________________________________________________________

              Address:  ____________________________________________________________________________

              City:  _______________________________State___________zip Code_________________________

              Phone:  _______________________________ Cell Phone:  __________________________________

              Email Address:  ______________________________________________________________________

              ACCOMMODATIONS

                      I wish to share a room with ________________________________________________________

                      Please assign a roommate if possible

                      I prefer a single room (if available) at the supplementary cost of $400.

                      I am registering for the workshop indicated above

              FORM OF PAYMENT

                          IN ORDER TO KEEP EXPENSES TO A MINIMUM MAGIC PALETTE & SKILLET WORKSHOPS IS

                                         REQUESTING ALL PAYMENTS TO BE BY CHECK OR MONEY ORDER

              TRAVEL INFORMATION

                     If you have any medical or dietary restrictions, please list them here._____________________

                     ________________________________________________________________________________

                      _______________________________________________________________________________

              EMERGENCY CONTACT NUMBER AND NAME   

              Name:  _____________________________________________________________________________

              Contact number:  _____________________________________________________________________

              DECLARATION

              By signing this registration form below we / I  accept that the details of this web site pertaining to

              scheduled workshops is fully understood and we / I agree to the terms and conditions set forth

              X  _________________________________________________________________________________

  Your payment and this form should be mailed to the address indicated below

MAGIC PALETTE & SKILLET WORKSHOPS

10646 Glen Acres Dr. So.

Seattle, WA - 98168

Phone:  206 431 8227

Email address:  williamsperlingg@aol.com

Web Site:  www.magicpalette-skilletworkshops.com

Le Casacce

May 9 to May 23

2009

 

NOTE:  If, after a full payment has been made, a substantial difference in the conversion tables between the U.S. dollar and Euro dollar occurs, the applicant will be notified and charged the difference accordingly......before their departure to Europe.      

NINA FRITZ