Instructor: Giovanni Novara REGISTRATION FORM Name____________________________________________________________________________ Address__________________________________________________________________________ _________________________________________________________________________________ Phone(Home) ____________________Work:____________________Cell:___________________ E-mail____________________________________________________________________________ BASIC PRINTMAKING At Fort East Martello Museum And Gardens 10:30 am. – 1:00 pm. Saturday, February 17 & Sunday, February 18 2007 Saturday, February 24 & Sunday, February 25 2007 Saturday, March 3 & Sunday, March 4 2007 Saturday, March 10 & Sunday, March 11 2007 Cost: $120 with 10% discount for KWAHS members / supplies not included. A CLASS SCHEDULE AND MATERIALS LIST WILL BE PROVIDED AT TIME OF REGISTRATION Tuition Amt.______________ Please circle one) Cash Check Credit Card Credit Card Type: Amex Visa Mastercard (Please circle one) Credit Card#______________________________________________________________________ Exp. Date:________________________________________________________________________ Authorized Signature_______________________________________________________________ Make checks payable to KWAHS Send to: KWAHS, 281 Front Street, Key West, Fl 33040 Attention: Suzanne Pereira Education Contact; Suzanne Pereira 305-295-6616 Ext 27 Fax # (305)-295-6649