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REGISTRATION FORM - June 21-26 2009

Name:
Address:
City:
State:
Phone:College Credit?
Email:
 
Please select which is applicable:
Beginner in pastel Intermediate in pastel
 
I am interested in more information on college credit.
Undergraduate Graduate

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Mail to: Ann DeRosier Designs, 1915 Chicago Road, Jefferson City, Missouri, 65109


After filling out the form, print and cut on the line and mail with payment


This promises to be a rich, educational/ recreational experience for hardworking artisits who need to set
aside time for themselves to grow, relax and have fun. Hope you will join us in Hermann in June!!