Jacqueline Meyerson's

Pastel Workshop Enrollment Form

Please provide the following contact information:

Boxes with * must be complete.

First Name *

Last Name *

Street Address *

Address (cont.)

City *

State/Province *

Zip/Postal Code *

Cell Phone

Work Phone

Home Phone * If you use only 1 phone type it here with area code.

E-mail *

Start Date mm/dd/yr

Class Locations:
Check Appropriate Boxes

Since class size is limited you may choose more than one class and you will be contacted as to which classes are available.

Blick Art Materials Class South Mall, 3152 Lehigh Street, Allentown, PA 18103

Friday Morning Class 11:00 AM -1:00 PM

Tuesday Evening Class 5:30 PM - 7:30 PM

Hobby Lobby Class 3750 Easton Nazareth Highway, Easton, PA 18045

Wednesday Morning Class 11:00 AM -1:00 PM

Saturday Morning Class 11:00 AM -1:00 PM

In the event of a cancellation of the workshop your money will be fully refunded. No seat will be held without prepayment. Class size is limited so enroll early. If the class is filled you will have the option of being put on a waiting list or choose another time or location. Another session may be added if demand is high. You may cancel up to 10 days in advance for a full refund.

Cost of 6 week workshop is $95.00. You can continue taking as many 6 week sessions as you like one your seat is secured. You may be absent 1 day during each 6 week session and extend your session 1day without losing your seat. In the event workshop is cancelled due to inclement weather, holiday, planned day off or other unforeseen situation, the session will be extended to make up the day(s).

After submitting this form you may pay online to secure your seat.

First Name	*
Last Name	*
Street Address	*
Address (cont.)
City	*
State/Province	*
Zip/Postal Code	*
Cell Phone
Work Phone
Home Phone	* If you use only 1 phone type it here with area code.
E-mail	*
Start Date	mm/dd/yr

	Class Locations: Check Appropriate Boxes Since class size is limited you may choose more than one class and you will be contacted as to which classes are available.
	Blick Art Materials Class South Mall, 3152 Lehigh Street, Allentown, PA 18103
	Friday Morning Class 11:00 AM -1:00 PM
	Tuesday Evening Class 5:30 PM - 7:30 PM

	Hobby Lobby Class 3750 Easton Nazareth Highway, Easton, PA 18045
	Wednesday Morning Class 11:00 AM -1:00 PM
	Saturday Morning Class 11:00 AM -1:00 PM

Jacqueline Meyerson's

Jacqueline Meyerson StudiosCopyright © 2010. All rights reserved. Revised: February 21, 2012

Jacqueline Meyerson Studios
Copyright © 2010. All rights reserved.
Revised: February 21, 2012