Back to Announcements Class Announcement
The
Southern Flames present
Jeff Barber
Lottery/Registration
Form
Name:
Address:
Telephone:
Alternate
Telephone (mobile):
Email Address:
Jeff Barber Satake Class Preference (only check one):
Only able to attend October 23-24, 2008 (Thursday/Friday)
Only able to attend October 25-26, 2008 (Saturday/Sunday)
Can attend either session, prefer Thursday/Friday -You may be placed in either class.
Can attend either session, prefer Saturday/Sunday – You may be placed in either class
Do you want to be on the waiting list if your name is not drawn for a class session (circle one)? yes no
Please print out, complete, then mail the completed form and your check in the amount of $275.00 (Members) or $295 ( Non Members) made payable to “Southern Flames” to:
Southern Flames
c/o Martha Fuerst
2679 Mercedes Drive NE
Atlanta, Georgia 30345-3974
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For Southern Flames Administrative Use Only
Received On _________ Check # __________
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