___ Please sign me up for the August 12, 2005 class -- 9 a.m. to 3 p.m.

___ Please sign me up for the August 13, 2005 class -- 9 a.m. to 3 p.m.

___ Please sign me up for the August 14, 2005 class -- 9 a.m. to 3 p.m.

NAME:
ADDRESS:
CITY: STATE: ZIP:
DAY PHONE: EVENING PHONE:

___ I am a new student. ($150.00 class fee)

___ I am a returning student. ($130.00 class fee)

___ Enclosed is my check # _________

___ Charge my VISA / Mastercard _______________________________

       Exp. Date: ___________

       Card Security Code (3 digits following or near main number) _____
Your credit card will be charged 30 days before class date.

Cancellation fee $20.00.
Cancellations must occur no later than 1 week before class date.

2 weeks prior to the class, you will be sent a packet with shirt styles and designs to choose from. Packet will also include directions, lunch menu, what to bring, etc.

Diane Wat Design
2827 South Rodeo Gulch Road, #6
Soquel, CA 95073      (next to Santa Cruz)

ph. 831-479-9302
fax 831-476-0915

Thank you for participating in my painting class!

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