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To apply for this weekend workshop, submit your completed registration form and your payment-in-full.
What to Bring:
A journal or notebook for notetaking, pen or pencil, and colored pencils (latter is optional). Beverage service (coffee, tea, water) will be provided throughout the workshop. Attendees are on their own for all snacks and meals. There are numerous restaurants within easy walking distance of the Hilton - a list and map will be provided at the workshop.
Name_______________________________________________
Address_____________________________________________
City________________________________________________
State/Prov_____________Zip____________________________
Home Phone__________________________________________
Cell phone__________________________________________
Email_______________________________________________
Name for ID Tag______________________________________
Emergency Contact Name__________________________________
Emergency Contact Phone #__________________________________
$25 Friday evening lecture only $315 Early Bird Fee (if paid in full by Friday, May 20. Includes Friday Evening Lecture) $345 Regular Fee (You must pre-register to insure space. Includes Friday Evening Lecture)
Check # ______ payable to Kathy Miritello and/or
MC Visa Disc AMEX CC#_________________________________Ex. Date________ CVV/CID#_____)
Registration Information
Please mail the completed registration form below and payment to:
Kathy Miritello 328 Mariemont Way Rock Hill, SC 29730-0012
Prefer email? You may also print and scan the completed form and send to Kathy Miritello at KathleenMiritello@gmail.com but please do not include credit card information via e-mail as it is not secure. Instead, call me with your credit card information at 828-545-7646.
Questions? Please feel free to phone Kathy at (828) 545-7646.
