2006 HUMMINGBIRD Workshop Registration

Workshops have limited enrollment. Reservations will be on first come first served basis.
You may request to hold a place by emailing Leslie@LeslieLeeArt.com
but space will not be confirmed until this form and payment are received. 

Workshop:
Instructor &Dates______________________________________________________________

Name: Ms/Mr. ________________________________________________________________

Address: _____________________________________________________________________

City: ______________________________ State: _____________________ Zip ____________

Phone: ________________________________ Fax: _________________________________

E-mail: ______________________________________________________________________

How did you find out about this workshop? ______________________________________

Occupation: _________________________________________________________________

Skill Level: Beg .__________________ Inter. _____________Advanced______________

Please call me about available space for:  a Bed and Breakfast Room _____
Tent camping____ RV space_____  

PAYMENT
$265, includes lunches and basic supplies - $20 discount if recieved before May 1
Payment in installments can easily be arranged More info

____BY CHECK: (preferred) Please send full payment with your registration. You may send two checks for half the amount if you like. The 2nd one will not be cashed until 30 days before your workshop date.
____BY CREDIT CARD: Upon receipt of this form we will send you an email invoice for the full amount which you may pay securely on-line.

If the above are not possible (or confusing)
email or call Leslie or Dennis at 541-899-7045 to make arrangements.
 
Refunds: Fees are refundable up to thirty days prior to each workshop. Cancellations with less than thirty days notice will be refunded only if the vacancy is filled. Workshops that do not meet a minimum enrollment may be cancelled; we cannot be responsible for travel reservations.

Make checks payable to Hummingbird/Workshops
Send application & fees to: Hummingbird - 8150 Applegate Road - Jacksonville Oregon 97530

*Please note this is a non-smoking facility. Smoking is not allowed in buildings or around them. All terms subject to change without notice.

__________________________________________________________________
Applicant Signature