Registration Form 2003 TALBOT WORKSHOP AT ART LEAGUE SCHOOL / ALEXANDRIA, VA Fill out Online then Print out and Mail or Fax to the Art League School For Office Use only Fill out this form, print it (Choose File and then Print from the menu above) and send it with full payment to: The Art League School 105 North Union Street Alexandria, VA 22314 Tel: 703-683-2323 Fax: 703-683-0167 Cash Receipt No. Check if new address Name Street City State Zip+4 e-mail (for future mailing list) Day Phone Evening Phone Fall Winter Spring Summer Workshop Art Camp Obtained Catalog ? Mail Library Other New to our School? New to the Class(es)? Continuing the Class? Workshop Date(s) : March 15th & 16th, 2003 Minor's Age Adult Contact Class: COLLAGE TECHNIQUES & CREATIVE EXPLORATION Workshop leader: JONATHAN TALBOT Day/Time: Saturday & Sunday March 15th & 16th, 2003 9:30 AM to 5:30 PM with optional evening hours until we get too tired to work on both days at no extra cost. Cost: $180 plus $25 materials fee= Total: $205. Refunds are granted, less $15, only if we are notified one week prior to a workshop, or one business day prior to the start of a term for classes. Payment enclosed(check/money order payable to The Art League School, no cash by mail please). Yes, I would like to include $1 with my payment in support of the Student Scholarship Fund (ie:cost+$1). VISA MasterCard Card # Exp / Cardholder's name Print out this form and then sign below: Cardholder's signature required____________________________________________
Alexandria, VA 22314 Tel: 703-683-2323 Fax: 703-683-0167