Print this form , fill out and send in

Registration  Form

NAME:________________________________________________

ADDRESS:_____________________________________________

CITY:_________________________________________________

STATE: ______ZIP___________________

PHONE :______________________________________________

E-MAIL:______________________________________________

I would like to attend:  ( see calendar and list with dates)

________________________________________________

________________________________________________

________________________________________________

To reserve space in any classes a $50 deposit is required.

To reserve space in a Dalhart Windberg Workshop

 a $250 deposit is required.

Space in all classes and workshops is very limited so early

reservation is highly recommended.

Payments made by check (payable to Windberg Art Center)

credit card; VISA, MASTER CARD , DISCOVER.

Card Type________________________

Card #  ________________________________________________

Expiration Date_________________________

Signature:________________________________________

Date:_________________________

Send this form to Windbeg  Art Center , 7110 North I H 35,

Georgetown, Texas,  78626        512-868-8183