Art Workshop Registration
Complete form below to signup for the workshop.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Cell Phone
How did you hear about the workshop?
*
Web Site
Friend/Colleague
Online Search
Other
Class/Workshop
*
Alcohol Ink - Ornaments 12/2
Encaustic Open Studio 11/25
Encaustic Open Studio 12/9
YOGA- Donation class 12/6
My Products
*
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next
( X )
Encaustic Open Studio Nov. 25th
$
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
Alcohol Ink - Ornaments
$
70.00
Quantity
1
2
3
4
5
6
7
8
9
10
Encaustic Open Studio Dec. 9th
$
45.00
Quantity
1
2
3
4
5
6
7
8
9
10
YOGA DONATION - CLASS
LIMITED SPACE
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Payment to Complete Registration
Should be Empty: