Fill
out completely, and mail, with full amount, to: Mielke’s Fiber Arts,
LLC, 3086 Co. Rd. PP, Rudolph, WI 54475. We
will send you a confirmation letter via mail or e-mail and list of supplies to
bring (if applicable).
NOTE: Please write name of class and starting date, as some classes are offered more than once.
Name
_________________________________________________________
Address________________________________________________________
City________________________________________State_______________
Zip Code
_____________________ Phone#__________________________
E-mail
________________________________________________________
Class
________________________________________ Amount
_________
Class ________________________________________ Amount _________
Class ________________________________________ Amount _________
Workshop
____________________________________ Amount
_________
Workshop ____________________________________ Amount _________
TOTAL _________
If paying by credit card:
MC Visa (circle one) Expiration Date: __ __ /__ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ CVV # (from back of card) __ __ __
Signature:____________________________________________
Feel free to photocopy this form.
Questions? Call 715-435-4494 or e-mail us at andrea@mielkesfiberarts.com
URL for this page - http://www.mielkesfiberarts.com/cls_reg_form.htm