Carol Leigh's HILLCREEK FIBER STUDIO
7001 Hillcreek Road, Columbia, MO 65203
573-874-2233;
FAX: 573-874-0141
WORKSHOPS Pre-registration Form
(Print out this form to submit by Mail or FAX)
DATE:______________
NAME: ______________________________________ PHONE: ____________________
ADDRESS: _______________________________________________________________
CITY/STATE:__________________________________ ZIP: _______________________
Fiber interest/experience _____________________________________________________
_________________________________________________________________________
| Dates | Workshops | Tuition | Equip.Rent | Materials Fee | Bed & Brkfst | TOTAL |
| TOTAL PREREGISTRATION | ||||||
Less Discount |
||||||
| GRAND TOTAL DUE | ||||||
Less Deposit |
||||||
BALANCE DUE |
Print out this form, fill in the necessary information, mail or FAX the form and the Deposit to: Carol Leigh Brack-Kaiser, HILLCREEK FIBER STUDIO, 7001 Hillcreek Road, Columbia, MO 65203.
For more information, call 573-874-2233, (FAX: 573-874-0141) or
Click here: Workshops@HillcreekFiberStudio.com
CREDIT CARD: VISA ______ MasterCard______
Account No.: ______________________________ Expiration Date:_______________
SIGNATURE: ___________________________________________________
(Print out this form to submit by Mail or FAX)
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