Dianna Shyne Acrylic Class
Registration Form
Thursdays at Arts Umbrella, Bothell, WA
$140 per four week class Session
Cost: $140 per four week session (no make up sessions available)
Month/Months__________________________________________________________
Name:____________________________________________________
Email:_____________________________________________________
Phone:____________________________________________________
Cell:_______________________________________________________
Mailing Address:___________________________________________
City:___________________________________State:____Zip________
Amount Paid______________________________________________
You are registered for class when this form is filled out and the class is paid in full.
Please print this form and mail it with your payment check to:
Dianna Shyne Studio
359 Hill Park Court
Camano Island, WA 98282
For more in formation call 360-387-4950 or email Dianna.