Registration form Fall/Winter 2010

NAME____________________________________________________________________

ADDRESS_________________________________________________________________

Email_____________________________________________________________________

Telephone _________________________________________________________________

$250 payable by Check # _______ Cash_____ Visa_____ MasterCard_____

Fee must be paid BEFORE classes begin. No refunds  after first class. (Minus $50.00 for first  class.)

Class times (Please check one)

_____ Tuesday afternoon       12:00 - 3:00

_____ Wednesday morning     9:00 -  12:00 

_____ Thursday evening           6:30 - 9:30

Sessions

______ Session 1  Week of  Sept. 7   - Week of Oct. 5

______ Session 2  Week of  Oct. 12  - Week of  Nov. 9

______ Session 3  Week of  Nov. 16 - Week of Dec. 14*

 *There will be a replacement class for Thanksgiving.

First come, first served.

Make sure that your check is signed, and mail this form to:

Sundog Stained Glass Studios

1383 Kings Hwy.

PO Box 319

Sugar Loaf, NY 10981

Thanks so much!