CWB Workshop and Class Registration Form

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Please Print

Name..............................................................................................................

Address...........................................................................................................

Phone...........................................................................................................

 

Workshop/Class Name

1...........................................................................................................

2...........................................................................................................

3...........................................................................................................

4...........................................................................................................

 

Total Fee Enclosed $..........................................................................

Please use a separate sheet of paper if you are registering for more than 5 workshops/classes

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Call: (814) 237-3042

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