Online Registration Form for
COLLAGE TECHNIQUES & CREATIVE EXPLORATION 2013
EXTENDED VERSION
with Jonathan Talbot
Monday - Thursday, July 15th thru 18th, 2013
In the Artist's Studio, Warwick, NY

Instructions: Fill out the form below and click the "SUBMIT REGISTRATION" button at the bottom. You will be then be taken to a payment page where you can pay by credit card or PayPal or, if you prefer, you will be given the option of sending a check. You will receive confirmation of your registration by both regular mail and e-mail (please allow 24 hours). To register by phone, or for additional information, call Jonathan Talbot at 845-258-4620 (9 AM to 6 PM Eastern time please).
Name: Each registrant will receive a letter in advance of the workshop containing directions, suggestions of what to bring, and more. Participants who decide to come empty handed will find that all materials and tools needed for a full and enriching experience are provided.
E-mail Address:
Company (if applicable):
Street Address:
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State (Province / Department): Please check all applicable boxes
Zip (or Postal) Code:   Please send accomodations information
Country:   Please send travel Information
Phone:   I prefer vegetarian snacks
Fax:   I am an omnivore

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ONLINE-WS-REGISTRATION FORM REV.FEB 2012