Please print and complete the following form.

Yes! I would like to attend the workshop;

__________________ on ____________________

Enclosed is a cheque/money order for $___________

to reserve my space.

( A non-refundable deposit of $150.00 is required.

Balance due one month prior to workshop).

Name:________________________________________

Address: ______________________________________

City: _______________ State or Province: __________

Postal Code: __________Email:___________________

Phone (home):______________(work)______________

Signature: _____________________________________

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Enclose deposit and mail it to :

Maria Zorn

1073 Mineral Springs Rd.

R.R. 3 Dundas , ON L9H 5E3, Canada

The organizers of these workshops are not liable for any loss, injury or damage sustained directly or indirectly to any individual paricipating and/or property.

 

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