Workshop:
Instructor /Dates/Tuition____________________________________________________________________
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
includes lunches and basic supplies - Payment in installments can be arranged More info
____BY CHECK: Please send full payment with your registration.
____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. A 3% non-refundable service charge will be added.
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, less a $50 registration fee. 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 Upper 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
PLEASE PRINT OUT AND MAIL:
HUMMINGBIRD Workshop Registration
10% discount on total tuition if your initial registration includes more than one workshop.
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.