I will attend ____________________________Rug Hooking Workshop on ___________________
Teacher_____________________________

A Non-refundable deposit of $160 for each class you are attending is required for the workshop. The balance is due no later than one month prior to the class. Your confirmation will be e-mailed to you.

My name____________________________________

Street Address________________________________

City, State, Zip_______________________________

Daytime Phone________________________________

Evening Phone_________________________________

E-mail Address_________________________________

I am enclosing a check or MO made payable to Sharon Lesio for ____