Artemis Registration Form

(Print and Mail)

 

Both days:                                      $100         _____

Saturday only:                                 $60          _____

Sunday only:                                    $50         _____

Add $5 if paying at the door

Show ticket (attendee)              $10 ea         _____

Show ticket(s) General             $15 ea          _____

Grand total for class & show                     $ ______

 

Please Sign in for all attendees (use separate sheet  if needed)

Name (please print):

_____________________________________________________

_____________________________________________________

Address (city, state, zip code):

_____________________________________________________

_____________________________________________________

 

Phone: (         )_________________

 

E-mail: _______________________

 

Send check or money order payable to:

Nancy L. Barrett

PO Box 465

Hebron, CT  06248

860-228-6933

 

Pay by VISA, MasterCard or Discover

(mail or call -- do not send credit card information by email!)

 

Credit Card No: ______________________

Exp Date (mm/yy):  __________

Signature: ___________________________

 

Note: attendee considered pre-registered if payment received

by Friday, March 16.  Please account for lags in mail delivery time!