Registration Form for Outside In

Maskmaking Workshops:

Cost: $50.00 per person.

Times: Workshops run from 10 a.m. - 4 p.m..

Payment methods: We accept Visa, MasterCard, American Express, cashiers check or money order. Personal checks are accepted but must clear prior to registration confirmation. Please make all checks payable to Marie Soderlund.

Print and Send this form along with selected payment to:

Marie Soderlund

GALLERY 2611

2611 Broadway

Redwood City, CA 94063

Please provide the following information:

Credit Card Number: __________________________________________________

Expiration Date: ______________ [Name on credit card must match registrant’s name]

Name, place & date of workshop: ________________________________________

___________________________________________________________________

Number of attendees: _________________________________________________

Name: ______________________________________________________________

___________________________________________________________________

Address: ____________________________________________________________

___________________________________________________________________

Phone:______________________________________________________________

Email: ______________________________________________________________

To reserve your spot, mail this form with non-refundable deposit of $25 Your reservation will

become active upon receipt of payment.

. A one week notice is required for cancellation. If your spot can be filled from our waiting list, your deposit will be refunded. If you need to withdraw from the workshop less than 7 days in advance you will not receive a refund.  Sorry, no exceptions.  Questions/concerns?

Contact Dragonfly Productions at: marie@dragonflymoon.com, or visit www.dragonflymoon.com.

Dragonfly Productions