Paint Night Registration Form
Artist's Name
*
First Name
Last Name
Second Artist's Name
First Name
Last Name
Third Artist's Name
First Name
Last Name
Forth Artist's Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Paint Night Registration
*
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Monthly Adult Paint Night
Join Jada for a fun night of paitning
$
39.95
CAD
Quantity
Price
Friday January 31st
1
2
3
4
5
6
7
8
$
39.95
CAD
Friday Febuary 28th
1
2
3
4
5
6
7
8
$
39.95
CAD
Friday March 28th
1
2
3
4
5
6
7
8
$
39.95
CAD
Friday April 25th
1
2
3
4
5
6
7
8
$
39.95
CAD
Friday May 30th
1
2
3
4
5
6
7
8
$
39.95
CAD
Item subtotal:
$
0.00
CAD
Family Paint Night
A fun night of painting for the whole family.
$
39.95
CAD
Quantity
Price
Friday January 24th
1
2
3
4
5
6
7
8
$
39.95
CAD
Friday Febuary 21st
1
2
3
4
5
6
7
8
$
39.95
CAD
Friday March 21st
1
2
3
4
5
6
7
8
$
39.95
CAD
Friday April 11th
1
2
3
4
5
6
7
8
$
39.95
CAD
Friday May 23rd
1
2
3
4
5
6
7
8
$
39.95
CAD
Item subtotal:
$
0.00
CAD
Credit Card
Signature
Would you like to be added to the Art with Jada News Letter?
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*
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