Dates: March 18th - 19th 2011
Place: Intrigue Park Place Hotel
WORKSHOP
APPLICATION
Please send
picture or sample with this application.
Your Name (s):
______________________________________________
Business Address:
______________________________________________
City / State / Zip:
______________________________________________
ROUND TABLE
__________________________ COST:
__________
DESCRIPTION:
WORKSHOP
TITLE
_________________________ COST: __________
DESCRIPTION:
TIME: ALL DAY (9am – 4pm) ____ 9am – Noon_____
1pm – 4pm _____
CLASS SIZE: MINIMUM: _________ MAXIMUM ___________
SKILL LEVEL: BEGINNER _____ INTERMEDIATE ______ ADVANCED ________
SCALE: 1 INCH _______ 1/2 INCH ________ 1/4 INCH ________ OTHER _____
STUDENT SUPPLIES NEEDED:
USE SAMPLE AS DOOR PRIZE OR RAFFLE _________ THANK YOU.
Signature ________________________________ Date _______________________
Please return contract and payment to:
Debbie Baker, Dealer Chairman
16913 E 51st Court S
Independence, MO 64055
816-739-5796 mygysmo@sbcglobal.net