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Home Class Info Kentucky Photos Experience Registration Form

Name:

PLEASE PRINT or TYPE Clearly

 
Address: City:  
State: Zip Code:  
Daytime Phone: Evening Phone:  
Cell Phone:    
Email:    
Class Date:    
Class Name: Number Attending:  
Amount Paid: Method of Payment: __Check  __ M.O. ___ Credit Card  
To pay using a Credit Card send this information by email to julieebrent@gmail.com and you will be sent a
PayPal Secure Invoice by email.		    
To pay by check:
Mail completed form and payment using Check or Money Order, (do not send cash) to: Julie E. Brent, P.O. Box 262, Campbellsburg, KY 40011		 Make Checks payable to
Julie E. Brent

Questions: Call 502-727-4931

  

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