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Anasazi Pottery of Colorado (Ft. Collins): ANCIENT CULTURE THROUGH POTTERY- 2011
Note: Each participant is required to fill out, sign and mail in a registration form within 10 days of making a deposit payment.

Registering for: ANASAZI POTTERY of COLORADO:
ANCIENT CULTURE THROUGH POTTERY
Registration Closed~ Check back for future dates
Name:  
Address:  
City State Zip:  
Phone:  
E mail (please print clearly):  
Occupation:  
Clay experience/ability level:  
How did you learn about this course?   
Workshop T-shirt available for sale at workshop: M      L      XL    circle size(s) to reserve shirts
Enter WORKSHOP FEE :$  
or enter Group rate (if applicable):$  
Enter DEPOSIT* or full tuition amount :$  
Calculate and enter 
TOTAL AMOUNT of this payment: $

email for invoice if PayPal total not listed on website

Check, Money Order
and PayPal Accepted
Check here ____ if using PayPal

MY BALANCE DUE IN FULL is**: $  

Print, fill in, sign and mail this form with your deposit. Sorry email registrations are not accepted.

Waiver /Disclaimer: As a participant I am at least 18 years of age and understand that I am solely responsible for any illness or injuries that I may incur during the workshop and that I am responsible for all resulting medical costs or other expenses. Gregory Wood and Ancient Arts® has my permission to use any photos taken of me during the workshop for educational or promotional purposes.

Participant Signature and Date (required):

_____________________________________________________________ Date___________
 
REGISTRATION IS INCOMPLETE WITHOUT SIGNATURE   

*Your tuition/deposit is refundable less a $50.00 administration fee if written cancellation notice is emailed or postmarked  45 days prior to the scheduled workshop. After that time it is non-refundable unless the workshop is canceled or your space can be resold. 
** If balance payment is not received by the due date you may lose your reservation and deposit.

Lodging and meals are not provided.  Limit one non-participant companion (observer) per paid registrant. No children or pets please.

Upon receipt of the registration form and deposit, you will receive an email confirmation. 
Approx. 30 days before workshop, a course schedule and other related workshop information will be emailed to you as it becomes available.
We look forward to seeing you soon... 

Please completed registration form and make payment payable to Gregory Wood

Send payment and registration to:
       
Ancient Arts® P.O. Box 27 Masonville, CO 80541
     

Established 1977
Updated 06/26/10
©1998-2010 All rights reserved. ArchæoCeramics™, ArchæoCeramist™ and Ancient Arts® are trademarks owned by Gregory S. Wood
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