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To apply for this weekend workshop, submit your completed registration form and your payment-in-full.
What to Bring:
A journal or notebook for notetaking, pen or pencil, and colored pencils (latter is optional). Beverage service (coffee, tea, water) will be provided throughout the workshop. Attendees are on their own for all snacks and meals. There are numerous restaurants within easy walking distance of the Hilton - a list and map will be provided at the workshop.
Name_______________________________________________
Address_____________________________________________
City________________________________________________
State/Prov_____________Zip____________________________
Home Phone__________________________________________
Cell phone__________________________________________
Email_______________________________________________
Name for ID Tag______________________________________
Emergency Contact Name__________________________________
Emergency Contact Phone #__________________________________
$315 Early Bird Fee (if paid in full by Friday, June 6th. Includes Friday Evening Lecture) $345 Regular Fee (You must pre-register to insure space. Includes Friday Evening Lecture) $25 Friday evening lecture only
Check # ______ payable to Kathy Miritello and/or
MC Visa Disc AMEX CC#_________________________________Ex. Date________ CVV/CID#_____)
Please mail this completed form, along with your payment to:
Kathy Miritello, 19 Pacifico Dr., Asheville, NC 28806-8203
Prefer email? Please copy/paste your completed application into an MS Word document and send as an attachment to: k_miritello@bellsouth.net. Remember, email is not secure — Please call me with your credit card numbers in accordance with the dates above.
Questions? Please feel free to phone Kathy at (828) 545-7646.
