DATE: THURSDAY ..................-
SUNDAY
..................,2007
TIME: ALL DAY FROM
9:30
-OPEN ENDED, SUNDAY UNTIL
5:30 PM
CONTACT: MAUD NORDWALD POLLOCK
TELEPHONE/FAX : 631 728.4140
COST: $450.- food and lodging extra
______________________________________________________________
WORKSHOP NAME
________________________ DATE________________
SURNAME/NAME____________________________________
STREET____________________________________________
CITY/TOWN_________________________________________
TELEPHONE_____________FAX_______________CELL
PHONE_____________
eMAIL______________________________
your
reservation: will be secured when you have submitted the payment with the
registration of at least half (½) upon registration and the balance is due
before the beginning of the workshop
payment: mail check or money order with
registration to Maud Nordwald Pollock po box 739 Southampton, N.Y. 11969
refund rules: upon withdrawal four (4) weeks
before beginning date of workshop. $50 per person will be retained. one-half
(1/2) of full cost of workshop is refunded; upon withdrawal 4 weeks to 4
days before beginning of workshop. No refund is possible upon withdrawal
three 3 days or less before the date of the workshop. No refund is possible
if a participant withdraws once the workshop has started. In case of
cancellation of workshop the total sum will be refunded. Should the workshop
you registered for be full, then you will be refunded what you have payed
and you will be put on the waiting list, without guarantee, to be notified
should and opening occur.
I DECLARE THAT I PARTICIPATE
IN THIS WORKSHOP BY MY OWN FREE WILL AND AT MY OWN RISK.
SIGNATURE_________________________________________
DATE_________________________
