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
Seaside, CA, 93955
THANK YOU !
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