Metal Clay Class Sign-Up Form

Please provide your information Your Complete Name Organization Street Address Address (cont.) City State/Province Zip/Postal Code Work Phone Home Phone FAX Be sure to include  your current E-mail

Billing address same as above

  *After submitting please PRINT the submitted information 
"Form Submission Results" for your records.

You will be emailed a confirmation #, a class schedule, 
and directions to the Albuquerque class location.

Please select the  appropriate class below. Use the dropdown box to select the available class you would like to attend. Select by class description or class number. Beginner Class I 4010 Beginner Class II 4011 Beginner Class Combo I - II 4012 Intermediate Class I 4030 Intermediate Class II 4031 Intermediate Class $165.00 4032SS Advanced Class 2 Day 4050GP	Beginner I Class $130.00                       4010 Beginner II Class $130.00                      4011 Beginner Combo I & II Class $195.00   4012 Intermediate Class I   $165.00     4030 Intermediate Class II  $165.00     4031 Intermediate Class    $165.00      4032SS Advanced Class  2 Day $ 245.00   4050GP BILLING
Credit Card	VISA Diners Club MasterCard American Express PayPal If you choose PayPal we will send you a bill via email.
Name on Card
Card Number
Expiration Date
CVN	Number on the back of card. What's this?

 * Please note there is a $35.00 Nonrefundable fee to hold your space 
    for all classes. If for some reason you are unable to attend the class 
    you will be refunded the total amount paid minus the $35 fee.