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The Southern Flames presents

Margaret Zinser

Saturday & Sunday March 24 - 25 2012

"Bugs and Mazes: Sculpting & Enamel Painting"

 
$350
Includes Margaret's student kit rental.
Value: $25

Registration Form

 

Name:                                                                                                                                      

  Address:                                                                                                                                  

                                                                                                                                               

telephone:                                                                                                                               

Alternate Telephone (mobile):                                                                                                    

Email Address:                                                                                                                        

 

**If a second class is added (3/22 -3/23) **

___ I can switch to Thursday/Friday second class, if it is added.

___ I can not switch to Thursday/Friday second class, if it is added

 

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.  Mail the completed form and your check in the amount of $ 350.00 made payable to “Southern Flames” to:

 

Southern Flames, Inc

c/o Camille Simmons

2154 Briarwillow Drive N.E.

Atlanta, GA 30345

 

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For Southern Flames Administrative Use Only  Please do not fill in below

Received On _________   Check # __________

 

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