Registration  Form  for  Seaview  Glass  Ranch  Two-Day Beginner  Workshops

Please print legibly:

 

Name______________________________________________________________________

 

Address____________________________________________________________________

 

City________________________________________State________Zip________________

 

Home Telephone #__________________________________________________________

 

Alternate Telephone #_______________________________________________________

 

E-Mail_____________________________________________________________________

 

Workshop Date Requested (circle one) - Second Weekend in:

 

            April            May            June           July            August            September

 

 

If the Workshop Date requested is full or the minimum is not met, please enroll me in the next available Workshop.     

 

     Yes     (you will be notified)                        No     (you will receive a full refund)

 

Camping Request:

 

   Camping @ $10 per night for ______ nights

 

 

Registration Fee                        $15

Workshop Fee                         $350

Housing                              $_____

 

Total Enclosed                    $_____

 

Questions? We can be reached at:   707-847-3443

 

Payment must accompany Registration Form.  We accept Checks or Money Orders only.  Please make payable to Seaview Art Glass.  Checks returned for non-payment will result in a $20 processing fee.  Please mail to:

 

Seaview Art Glass Workshop Registration

27780 Seaview Road

Cazadero, CA 95421

 

 

Office use only - Date Received_________________Check #___________Amount________