Registration Form
Faux Painting School

(Complete, Print & Mail)

NAME:
ADDRESS:
CITY/STATE/ZIP:
TELEPHONE NUMBERS:
EMAIL:
COURSE NUMBER:                            COURSE TITLE::
COURSE DATE:                                                                           COST OF COURSE:  $
HOW DID YOU HEAR ABOUT US?

Credit Card Number: Exp Date:
Signature:   Date:
Card holder acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth in the cardholder's agreement with the issuer. 

Cash Amount:  $ Check #               Amount: $ Date:

ALL SUPPLIES ARE INCLUDED IN THE CLASS PRICE
To reserve a space in a class please send a 50% deposit. The remainder of the amount due must be paid by credit card or in cash, on the first day of class if you do not live locally.
If, for any reason, a workshop is canceled by Faux Painting School, a full refund will be issued. If a student cancels one month or more before their scheduled class, a refund will be issued minus a 25% fee. If a student cancels less than one month in advance, no refund is issued but you may reschedule one time with the teacher's permission.
We look forward to having you in our class and sharing in the rewards and fun of faux finishing.

Signature                                                                                                          Date

PLEASE MAKE CHECKS PAYABLE TO: PBAEC (Poplar Bluff Arts & Events Center)
Mail to:
Faux Painting School
            301 S. Main Street, Suite B
            Poplar Bluff, MO 63901-5833
            Telephone: 573-778-FAUX (3289)

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