Online Registration Form for
COLLAGE TECHNIQUES & CREATIVE EXPLORATION
 with Jonathan Talbot
 Saturday & Sunday, April 24th & 25th, 2010
Mesa State College, Grand Junction Colorado
(Sponsored Jointly by The Rocky Mountain Collage Society & Mesa State College)

Instructions: Fill out the form below and click the "SUBMIT REGISTRATION" button. 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 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 with them, and more. Folks who decide to come empty handed will find that all the materials and tools needed for a full and enriching experience are provided
E-mail Address:
Company (if applicable):
Street Address:
City:
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. MAY 2009