SPRINGS GALLERY WORKSHOP REGISTRATION FORM
Deadline to cancel with refund is the Sunday of the week preceding the workshop.
Springs Gallery presents—
TWO NEW WORKSHOPS WITH STEEL PAINTER MIKE ELSASS – IN DAYTON
Participant’s name: ______________________________________________________________
Address: _________________________________________________________________________
Phone(s):____________________________________Email:_______________________________
Registering for:
_____ Thursday, 1/12/12, 4 PM – 6 PM
_____ Wednesday, 1/18/12, 6 PM – 8 PM
_____ Both Workshops
Payment by:
_____ Cash
_____ Check #: __________
_____ Credit Card #: _____________________________________________ Exp. Date:_______
Students will meet at Mike’s Dayton gallery and carpool. Workshops will be held in Mike’s Front Street Studio. For all questions, contact Springs Gallery, 937-409-5047, 220 Xenia Ave., Yellow Springs, OH 45387, springsgallery@earthlink.net, www.springsgallery.blogspot.com. Come prepared to get messy and have fun!
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