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):
Burda Fit Workshop
June 21-23, 2018
$100 non-refundable deposit OR
$595 full payment
$
  $115 optional shopping day (June 20, 2018)
$
Summer Sewing Camp
August 16-19, 2018
$100 non-refundable deposit OR
$650 full payment
$
  $115 optional shopping day (August 15, 2018)
$
Pants: Fit and Sew
October 18-20, 2018
$100 non-refundable deposit OR
$595 full payment
$
  $115 optional shopping day (October 17, 2018)
$
Total Enclosed: $

Coupon Code:

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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