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Perceptions Art@Home Registration - Q3
Complete the form to register for the July, August, and/or September.
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Email
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Your email
Name (First, Last)
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Your answer
Phone
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Your answer
Address (Street, City, State, Zip)
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Your answer
Please register me for the the following class(es)
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July 29 - Summer Scene Acrylic Painting
August 26 - Peace Pole Starter
September 30 - India Ink Creation
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I would like to pay via...
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Invoiced via PayPal at $41.50 X number of classes (or $112.50 for 3 months)
Check - $40 X number of classes to Perceptions (or $110 for 3 months)
If this is a gift, please indicate this below.
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Yes, this is a gift.
Not applicable
If a gift, please provide the name of the individual, contact email, and phone number in the space below.
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