PLEASE PRINT
DATE OF YOUR SEMINAR________________________________________________________________
NAME (Last)__________________________________(First)_____________________________________
NAME I LIKE TO BE CALLED _____________________________________________________________
ADDRESS______________________________________________________________________________
CITY_______________________________________STATE___________________ZIP________________
PHONE (Home)__________________________(Work)_____________________(Cell)________________
EMAIL________________________________________(Prefer not to be called or emailed?
Enter DNC in the appropriate spaces)
TUITION $85
CHECKS PAYABLE TO: BOB MUSON FINE ART
SIGNATURE____________________________________
To register for The Painting Seminar, please print out this form and mail it along with your check or money order to:
Bob Muson Fine Art
1520 Wanda Ave
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