Registration for classes

for Open Your Heart Art: Painting Magic into Your Life class; $65 for 1 sessions ($58.50 if paid on-line)

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* required

*First name:

*Last name:

*E-mail address:

*Address:

*City

*Zip

*Phone/home: (xxx-xxx-xxxx)

Phone/work: (optional)

                    Registering only; will pay $65 at first class.
    Payment: On-line by credit card (a secure transaction) $58.50

(Click on Send to complete the registration process)

 

Class date: (for office use only)

Class code: (for office use only)