Workshop Registration

 YOU MAY FILL IN THE BLANKS ON THE FORM AND THEN PRINT IT OUT (p. 2 only) TO MAIL OR HIGHLIGHT AND COPY TO WORD DOC IN ORDER TO SAVE THE FILE AND E-MAIL IT AS AN ATTACHMENT. SEE BROCHURE FOR ADDITIONAL INSTRUCTIONS. THIS FORM DOES NOT SAVE INFORMATION.

PERSONAL INFORMATION

* Full Name:	First Name Last Name
* Street:
* City, State, Zip:	City                             State Zip Code
* Home Phone Number:	Ex. 8124651080
Work Phone Number:	Ex. 8124651080
Fax Number:	Ex. 8124651080
*Email Address:

PLEASE CHECK ONE BELOW

1. Check for $500 is included for workshop only 

2. I will phone in my application and you may take my credit card number at that time

PLEASE MAKE RESERVATIONS DIRECTLY WITH THE NEW HARMONY INN. TELL THEM YOU ARE WITH THE DYE WORKSHOP. WE HAVE A BLOCK OF ROOMS RESERVED. THEY EACH HAVE TWO QUEEN BEDS. IF YOU WANT TO SHARE, THE COST IS $185 FOR THREE DAYS. IF YOU WANT YOUR OWN ROOM, THAT'S OK, BUT PRICE IS DOUBLE. OF COURSE, WE WILL MATCH GIRLS WITH GIRLS AND BOYS WITH BOYS. http://www.newharmonyinn.com/   T: 1-800-782-8605

MAKE CHECKS PAYABLE TO:  The New Harmony Artists' Guild

PRINT APPLICATION FORM AND MAIL TO: Docey Lewis, POB 6, New Harmony, Indiana with your check OR E-mail your application to doceyDLD@aol.com or lfntextiles@sbcglobal.net . We can bill your credit card over the phone. 812-682-3868 or 812-682-3733