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The Southern Flames present  HEATHER TRIMLETT Lottery Form






Alternate Telephone (mobile):                                                                           

Email Address:                                                                                                 


Class Preference (only check one):

               Only able to attend Saturday/Sunday, October 24-25Advanced Beadmaking


              I want to attend BOTH classes, Marble Beadmaking, October 22 & 23 (Thursday/Friday) and
  Advanced Beadmaking, October 24 & 25 (Saturday/Sunday).


                    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 and complete this form and bring it to the Sat, August 15th  meeting.  If you cannot attend the meeting, mail the completed form and your check in the amount of $325.00 for one class or $650.00 for both classes made payable to “Southern Flames” to:  (NOTE Price for non-members of Southern Flames are $350 for one class and $700 for both classes.)

Martha Fuerst
2679 Mercedes Drive NE
Atlanta, Georgia 30345-3974

NOTE:  CHECKS AND FORMS MUST BE RECEIVED ASAP to secure a place in a class.


For Southern Flames Administrative Use Only

Received On _________   Check # __________



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