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Workshop Registration Please print and send in with your registration deposit
Name:...............................................................................................................
Street:...............................................................................................................
City:................................................... State:................ Zip:...............................
Home Phone:.................................. Work Phone:............................................
Fax:..................................E-mail.......................................................................
Register me for “Behind the Eyes of Sleeping Bears” February 16th-23rd, 2003
Workshop cost DOES NOTinclude food and lodging. Cost is $495.00
$150 deposit due with registration.
Refundable until Jan.1st, 2003 less $25 handling fee
After January 1st, 2003 the deposit is non-refundable.
The balance of the conference fee $345 is due by January 15th, 2003
After February 1st, 2003 ALL registration fees are non-refundable.
Space is limited to 60 participants. Please register early.
Payment method:
Enclosed is a check for $____________________
Please make you check payable to Hidden Wine.
If you are sending the $150 deposit, the remaining
balance of $345 is due by January 15th, 2003
------------------------or by credit card------We accept Visa and MasterCard -
Charge my Visa or Mastercard $ _______________________
If you are charging the $150 deposit the remaining balance of $345
will charged to your account on January 15th, 2003
Card Account #________________________Exp. Date_________
Signature_____________________________________________
If sending a check, make your check payable and send to:
Hidden Wine
406A Lowell Davis Road
North Grosvenordale, CT 06255
If using Master or Visa Card, send to address above or send Fax to
A confirmation letter will be mailed or e-mailed on receipt of your registration deposit.
For more Information call Craig Ungerman at Hidden Wine:
Call
or call 860-923-6987
Fax #
|web site: http://www.hiddenwine.com
email: hiddenwine@earthlink.net
HIDDEN WINE p r e s e n t s. . . . .
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