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Journey with Jana Registration Form



CENTRAL MISSISSIPPI POLYMER CLAY GUILD
March 15 and 16, 2014      Journey with Jana
Registration Form

Name__________________________________________________________________
Home Address:__________________________________________________________
City, State, Zip:__________________________________________________________

Email Address:__________________________________________________________
Contact Phone Number:___________________________________________________

Cost of this Workshop:
$50 non-refundable deposit to save your space
$225 early bird fee for workshop if paid in full by January 18, 2014
$250 fee for workshop after January 18, 2014
Workshop held at Southern Cultural Heritage Center in Vicksburg, MS
We have a group rate at the Hampton Inn and I will give you the code for it as I get your deposit.
Our guild will sponsor a Pot Luck lunch both days of the workshop.
Please enclose the above filled out legibly so I can contact you if needed. Thank you so much for your support of our workshops. Please feel free to contact me by email or phone if you have any questions, concerns or I can help you in any way.

Joyce King
joyceking4@gmail.com
Cell: 601-629-8210
Home: 601-638-4429
Make checks payable to: CMSPCG
Mail to: Joyce King
               1917 Vicklan Street
               Vicksburg, MS 39180

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