(PRINTABLE FORM)

OPAR REGISTRATION

Oregon Porclain Art Retreat

SEASIDE, OREGON

MAY 3-6,  2011

                    

           SCHOOL COST OF $250.00 INCLUDES THE FOLLOWING:

    *  Classes, Hospitality package, as well as the Friday night Banquet and Auction.

    *  Entry to Market Place

Please Print

NAME: _______________________________________________________________________

ADDRESS:  ___________________________________________________________________

CITY:  ____________________________  STATE:  ________  ZIP:  ______________________

PHONE: __________________________  E-MAIL:  ___________________________________

TEACHER CHOICES:  (3 choices must be made in order of preference or a teacher will be assigned for   you if necessary)

1.  ___________________________________________________________

2.  ___________________________________________________________

3.  ___________________________________________________________

  

AMOUNT DUE WITH REGISTRATION.

DEPOSIT ($50.00 non-refundable) for school registration

   $ (___________)

MAKE CHECKS PAYABLE TO:

Linda Ott, OPAR TREASURER

PO Box 1363

Lakeview, OR  97630

(541) 947-5626

email: donott@centurytel.net

TUITION BALANCE IS DUE NO LATER THAN FEBRUARY 1, 2011

Deposits are non-refundable

(YOU MAY WISH TO PRINT A DUPLICATE COPY TO KEEP FOR YOUR RECORDS)

Tuition Balance due no later than February 1, 2011    $____________

Banquet tickets available for your guests.  Please contact Treasurer for information.

Payment Plan Available

Contact Linda Ott, OPAR Treasurer.

Mail to:

OPAR