Caught Crystals Registration

Caught Crystals Registration

Registration Form

Class Name: Caught Crystals

Instructor/s: Linn Fowler

Register (3) Three ways:

    • Bring rgistration form with payment to April 8th Bead Society meeting or
    • Email us at webmaster@kcbeadsociety.org with the requested information or
    • Mail this registration form and payment to:

The Bead Society of Kansas City,

Attention: Class Registration

P.O. Box 255,

Independence, MO 64051

Student name:_____________________________________________________________________________

Address:___________________________________________________________________________________

City: State: Zip:_____________________________________________________________________________

Phone: (___) _______________Email:__________________________________________________________

Workshop Fee: Bead Society Members $ Non-member $ Circle one please.

Paid with: Check # Cash Bead Bucks

Students may bring their own supplies (see website for details)

Kits are required. Kit fee is $20. All kit fees will be paid directly to the instructor.

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Tear off and keep lower half of this form for your records

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Date & Location

Class Date: April 9, 2011 Day & Time: Saturday 1- 4 pm . Please be on time.

Location: 5905 Slater - Merriam, KS (1 Block Esat of I-35 & Johnson Drive - Behind the Walgreens)

Paid with:Check # Cash Bead Bucks

Questions? Check Bead Society website or contact your Instructor/s: Linn Fowler

(Student name)_________________________________________ is registered for

(Class name)________________________________________________________________________________

Each student will need to bring the following to the workshop: Basic beading supplies, light and extension cord.

Refer to website for specific supplies for each class. You might want a comfortable cushion and something to drink

Print this form using the red Print page at the very bottom of this page.