Registration form  2007

NAME____________________________________________________________________

ADDRESS_________________________________________________________________

Email_____________________________________________________________________

Telephone _________________________________________________________________

$250 payable by Check # _____________

Visa or MasterCard accepted, but must be paid with registration. Please call 845-469-7984.

First come first served, no more than 8 students to a class.

Class times (Please check one)

_____ Monday afternoon       12:00 - 3:00

_____ Tuesday afternoon       12:00 - 3:00

_____ Wednesday afternoon  12:00 - 3:00

_____ Thursday evening           6:30 - 9:30

_____ Saturday morning          9:00 -12:00

You sign up for a series of 6 classes, spaces must be reserved, each class has 3-8 students.

Comments:_____________________________________________________________

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

Sundog Stained Glass