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Le Jardin de la Rose
Tole and Decorative Arts Studio
17 Prospect Ave.
Middletown,NY 10940

Registration Form
PRINT THIS REGISTRATION FORM AND MAIL WITH DEPOSIT TO ADDRESS ABOVE

NAME:_______________________________________________PHONE____________________

ADDRESS:________________________________CITY___________STATE______ZIP_________

CLASS                                                               DATE                              COST              DEPOSIT

__________________________________     ________               _______________         ___________

__________________________________     ________               _______________         ___________

__________________________________     ________               _______________         ___________

__________________________________     ________               _______________         ___________

__________________________________     ________               _______________         ___________


                                                                      TOTAL DEPOSIT ENCLOSED    _________________

REGISTRATION AND POLICIES: A $20.00($50.00 Beginner Class), Non-Refundable, Non-transferable deposit for each class you are registering for,is required at time of Registration. The Le Jardin de la Rose reserves the right to cancel any class with insufficient registration. If the class is cancelled by us, Your deposit will be refunded.Due to limited space deposits must be sent with your registration to hold your place in class.

       For more information email me. I will then get back
to you as soon as possible. Thank You. . .


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