General Application for Workshops

Participant Information
Name of Attendee
Title of Attendee
Municipality, County or Company
Mailing Address
City
State
Zip Code
Phone Number
Fax Number
E-mail Address

Course Information
Course Name
Course Location
Course Dates

Comments

I understand that by submitting this form that the course requires payment of a registration fee and that I will submit the required payment by mail. Class space is limited, if payment of the registration fee is not received within two weeks prior to the course then students who are on the waiting list will be offered a spot. Registration fees are non-refundable, although substitutions are allowed.