Print form and mail check payable to:
Jan Baty
807 Kenyon Lane
Newark, DE 19711
302-368-5141
| Name: | _____________________________________________ |
| Address: | _____________________________________________ |
| _____________________________________________ | |
| Phone: | _________________________ |
| Email Address: | _____________________________________________ |
| Airport pickup from Charlottesville? | |
| Want carpooling information? |
Enclosed is:
The deposit only of $50 (balance due by June 1st)
Tuition only of $350
Room/Board and tuition of $692
For questions concerning the workshop or registration,
please contact janbaty@yahoo.com