REGISTRATION FORM


Print and complete a copy of this form,
and send it along with your deposit(s) to:

Marla Kazell
13333 SW 72nd Avenue, #10-E
Tigard OR 97223

Please make checks payable to: Marla Kazell
Please reserve space for me for the following workshop(s):
Fabric Collage Jackets Workshop
September 8-13, 2010 		$50 non-refundable deposit OR
$725 full payment
$
Sewing Camp
February 17-21, 2011 		$50 non-refundable deposit OR
$725 full payment
$
  $75 optional shopping day (February 16, 2011)
$
"It's All in the Details..."
Fabulous Shirts and Blouses Workshop
March 17-21, 2011 		$50 non-refundable deposit OR
$725 full payment
$
  $75 optional shopping day (March 16, 2011)
$
"It's All in the Details..."
Sheer Magic Workshop
May 19-23, 2011 		$50 non-refundable deposit OR
$725 full payment
$
  $75 optional shopping day (May 18, 2011)
$
Summer Sewing Camp
July 7-11, 2011 		$50 non-refundable deposit OR
$725 full payment
$
  $75 optional shopping day (July 6, 2011)
$
"It's All in the Details..."
Jackets - Loosened Up Workshop
September 15-19, 2011 		$50 non-refundable deposit OR
$725 full payment
$
  $75 optional shopping day (September 14, 2011)
$
Get Fit Workshop
October 13-17, 2011 		$50 non-refundable deposit OR
$725 full payment
$
  $75 optional shopping day (October 12, 2011)
$
Total Enclosed: $

REGISTRANT INFORMATION

Name:
Address:
City/State/Zip:
Daytime Phone:
Evening Phone:
Email Address:

IN CASE OF EMERGENCY, NOTIFY

Name:
Phone:
Relationship:

FOR OFFICE USE ONLY

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