Print page and send in by mail to Accent Arts, 392 California Avenue, Palo Alto, CA 94306
Name: ________________________________________________ Age (if under 18): __________
Phone: (_______)________________________
Alt phone: ________________________________
E-Mail:__________________
Day Address: _____________________________________________________________________
City, State, ZIP: ___________________________________________________________________
Emergency Contact:
_____________________________________ Phone: _________________
Generally, 7-week
classes are $125, 2-day weekend workshops are $150 and a 1-day woorkshops are $85.
Exceptions are silk screening, photography, pastel workshop and mixed-media collage classes and workshops.
See Art Classes for exact prices.
NOTE: Space is reserved with full payment
of fees.
Enclose a self-addressed stamped envelope to receive your receipt and class supply list.
Class 1
__________________________ Day/time _________________ Instructor _______________
Fee ________
Class 2 __________________________ Day/time _________________ Instructor _______________
Fee
________
Class 3 __________________________ Day/time _________________ Instructor _______________
Fee
________
Total Payment Due $ ___________
____ Cash
____ Check (payable to the Accent Arts)
____
Bill my credit card: __ Visa __ MasterCard __American Express
Card Number _____________________________________________________
Exp. Date _______________
_________________________________________________________________ _________________________
Signature of Registrant Date
