Mail In Class Registration #2

2012 Bead Blast Class Registration

Saturday, May 5 and Sunday, May 6, 2012

P
rint 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 webmaster@kcbeadsociety.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 __________________
Address ___________________________________________________________________

City ___________________________________________ State _____ Zip______________

Email _____________________________________________________________________
 

X

 

Saturday

Class Name - Instructor

 

 

Time

 

Class Fee

 

 

Total

   Night Blossom Pendant - Nikia Angel 10:30 am – 1:30 pm  $ 36 *  
   Chroniker Bracelet - Adele Kimpell 10:30 am – 1:30 pm  $ 26  
   Ring Triology – Mary Lynn Westervelt 10:30 am – 1:30 pm     
   Floral Cuff Bracelet - Sally Kelley 10:30 am – 1:30 pm    
         
         
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