Paint Beautiful Prince Edward Island

Dianna Shyne 2011 Acrylic Workshop
Registration Form

 Date of Workshop: September 8, 9, 10, 11, 12   2011
 Workshop Location: Charlottetown, PEI (call 902-892-2233 for meeting location)
 Tuition: $400  Deposit: (part of the tuition) $100 (not refundable after July 29)

   Name:________________________________________________________________

  Email:_________________________________________________________________

  Phone:________________________________________________________________

  Cell:__________________________________________________________________

  Mailing Address:________________________________________________________

  City:­­­­­­­­­­­­­­­­­­__________________________________________________________________

   State or Province:_______________  Zip or Postal code________________


  Deposit Paid:___  Date Paid __________    Amount of Deposit_________Paid in Full______


You are registered when this form is filled out and the workshop deposit is paid in full.
 Please mail this form with check to:

Dianna Shyne
359 Hill Park Court
Camano Island, WA 98282

Or turn it in with deposit payment to:

Arlene Rice at Details Past and Present
166 Richmond Street,
Charlottetown, PEI, Canada C1A 1H9

For more in formation call 360-387-4950 or 902-892-2233 or email Dianna


Or you can pay using the secure PayPal link below
PayPal: Buy Acrylic Workshop/Prince Edward Island