| Safer Printmaking for Artists and the Environment    

 

Workshop Registration Form


Name:_____________________________________________________


Address:___________________________________________________


City State Zip:______________________________________________


Phone(s):_______________________________________________________


Email:______________________________________________________________


Chemical Sensitivities/Allergies:______________________________________________________


Workshop Title:__________________________________________________________


Dates:_______________________________________________________


Fee:__________________________________________________


Amount enclosed (50% deposit due at registration):______________________________


I am in need of a scholarship (up to 50% of workshop fee).   Please send me an application __________________________________


Balance due:______________________________________


Confirm my registration by:______Phone, ________Email


Mail form and check or money order to:
Zea Mays Printmaking
221 Pine St., 320
Florence, MA 01062