(PRINTABLE FORM)

OPAR REGISTRATION
Oregon Porclain Art Retreat

SEASIDE, OREGON
MAY 7-10, 2013

                       
            SCHOOL COST OF $275.00 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, 2013
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, 2013    $____________
 Banquet tickets available for your guests.  Please contact Treasurer for information.
Payment Plan Available  -  Contact Linda Ott, OPAR Treasurer.
OPAR
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