LEARNING AT HOME REGISTRATION FORM
Postmarked one week in advance of the workshop
Name(s):_________________________________________________________
Address:_________________________________________________________
_________________________________________________________________
Phone number:____________________________________________________
Email address:____________________________________________________
Date of workshop: _______________
Location of workshop:_______________________________
Single Registration: $40
Married Couple Registration: $50
_____ Check if your teenager will also be attending (free of charge)
Amount enclosed: ___________
Make check payable to Barbara Mesh and mail to:
Neoka Apple
6400 29th Ave North,
St. Petersburg, FL 33710