Art Workshop Application
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	To better serve your needs, please complete entire form:
	Subject:	Workshop Application Workshop Information Request
	Full Name:
	Mail Address:
	City:	State: Zip:
	Day Phone:	Evening Phone:
	E-mail Address:
	Workshop Date(s):	Workshop Dates April 16-18 May 15-16 June 18-20 July 16-18 August 20-22 Sept. 17-19 October 21-24 With Instructor: Instructor Charles Topping Barbara Campbell Fred Hewitt & Jan Su Rich Pelletreau Millie Funk Howard Rees
	Workshop Materials:	I will provide my own, please send list.   Please supply all materials.
	Payment Preference:	Payment Options Check Money Order Visa Mastercard
	Credit Card #:	Expires: (Account number may be submitted via separate phone or fax contact if preferred)
	How did you hear about us:	Canyon Connection Link Kernvalley.com Link Brochure Flyer Friend Other
	Message or Comments:

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	Monthly Workshop Prospectus
	Eligibility: Open to Everyone. Location: On the grounds of Rich Pelletreau Art Gallery & Studio in a large swamp-cooled or heated tent. Workshop Times: On the dates specified from 10:00AM to 4:00 PM approximately (with time out for lunch). Arrival & Set Up: Please arrive no later than 9:30 AM each day to prepare. Workshop Costs: $70.00 a day ($10.00 to gallery and $60.00 to artist/instructor) plus the cost of materials instructor and/or gallery supplies (which you keep). Meals: Bring your own or there's a deli and cafe within easy walking distance. Lodging: Lots of motels and campgrounds are available nearby in Wofford Heights & Kernville. Click Here for Lodging Information. Cancellation Policy: All cancellations must be in writing or via email and confirmed with date received. Cancellation date is the date when confirmed by Rich Pelletreau Art Gallery & Studio. Minimum of 30 days notice prior to date of workshop is required for full refund. Application Understanding & Agreement: Receipt of your deposit constitutes full understanding, agreement and consent to the terms and conditions listed above.
	For Questions or More Information contact: Rich Pelletreau Art Gallery & Studio
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