REGISTRATION FORM:

        JOURNALING IN WORDS AND IMAGES - Fall 2008

        Two all-day Saturday sessions: (dates to be announced)
        9:30 am - 3:00 pm
        At Linda Passman's studio

        Fee: $195 covers both days. Bring a bag lunch.
        Questions? Email Carol at: carolhenderson@nc.rr.com

NAME_____________________________

        ADDRESS_____________________________________

        ______________________________________________

       HOME PHONE______________

       CELL PHONE_______________________

       EMAIL____________________________________________

       EMERGENCY CONTACT PERSON_____________________

       CONTACT’S PHONE NUMBER:__________________________

       Full payment is required with registration  $_______________

       Make checks payable, and send completed form, to:

        CAROL HENDERSON
        804 WOODLAND AVE
        CHAPEL HILL, NC 27516

        919-942-2127

        
YOU WILL RECEIVE AN EMAIL CONFIRMATION WITH DIRECTIONS
AND A LIST OF SUGGESTED SUPPLIES ONCE WE HAVE YOUR
FORM AND CHECK.  THANKS.