events_registration

Pattern Studio Events Registration Mail-in Form
(To sign up for a workshop on-line, click here.)

Date Workshop Name Workshop Location Cost

Total Payment

After your registration is processed, you will receive a list of items that you will need to bring with you for the workshop.

Your Address: (Please Print)

Name ______________________________________________________
Street Address _______________________________________________
City - State - Zip ______________________________________________
Phone No. ( ) _______________ E-Mail _________________________

Method of Payment ($US Funds only):
Check or Money Order - Make Payable to "Pattern Studio"
(NSF checks subject to $30.00 handling charge)

Visa or MasterCard Number:	Expiration Date:
_____________________________________________	_______________

Signature: _____________________________________

Print out this Form, Fill it out and Mail with payment to:

Pattern Studio
PO Box 15874
Cincinnati, OH 45215-0874

www.patternstudio.com
Phone/fax: 513-821-4287
pstudio@patternstudio.com