2012 Bead Blast Class Registration
Saturday, May 5 and Sunday, May 6, 2012Print this form (using Print page at bottom) and mail this form along with a check or money order for class fees only by
April 25, 2012 to:
KC Bead Society
P.O. Box 255
Independence, MO 64051-0255
You may still register on-line.
If you are unable to use the on-line registration please contact us
at firstname.lastname@example.org or call 816-898-9333.
Walk-in registrations will be accepted on the basis of class availability.
Walk-in registration must be paid by check or cash only. On-line may use PayPal or credits cards as
a PayPal guest.
Name ________________________________________ Day Phone __________________
City ___________________________________________ State _____ Zip______________