PAYMENT FORMS
FOR WORKSHOPS, PRINTS, CALENDARS

PDF VERSION

 

New: Pay with PayPal - Please email this registration form(cut & paste) separately if paying by paypal
or print & mail with your check.
EMAIL

FOR WORKSHOPS

Name____________________________________________Male___Female___Age_____

Address_________________________________________________________________

City_____________________State_____Zip________Telephone_____________________

Email_______________________________________ Work phone____________________

Emergency Contact Name and Phone____________________________________________

Previous workshops__________________________________________________________

Occupation_______________________________Years in Photography__________________

Foreign workshops... any special health issues I should know about?__________________

Workshop Title & Date ________________________________________________________

Workshop fee____________ How are you paying? Pay Pal______Check_______

Less deposit_____________

Balance due______________


FOR PRINT SALES OR CALENDAR

Name_____________________________________________________________________

Address___________________________________________________________________

City_____________________State_____Zip________Telephone_____________________

Email__(optional)__________________________________________________________________

TITLE OF PRINT, SIZE, COST _________________________________________________

CALENDAR $15 PLUS $3 SHIPPING Quantity _______

How are you paying? Pay Pal______Check_______Amount________


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