Class Registration Form

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Class Name / Description __________________________________________________________

Class Location _____________________________ Class Date(s) __________________________

Class Time ________________________________

Your Name _____________________________________________________________________

Address ____________________________________ City __________________ Zip _________

Phone (______)__________________________ Cell (______)____________________________

Email __________________________________________

Please print and complete this form, include check made payable to MARY ANN INMAN

Mail to: School of Eclectic Art-Mary Ann Inman, 316 Church St., Clinton, WI 53525

Please use a separate form for each class

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