Class Registration Form

Class Registration Form:

Marilyn Eger's Class Registration Form

Class Requesting:___________________________________________________________________

Date of the Class:___________________________________________________________________

Name:__________________________________________________________________________

Address:_________________________________________________________________________

City, State, Zip Code_________________________________________________________________

Phone __________________________________________________________________________

Email address:_____________________________________________________________________

Check enclosed_ made payable to Marilyn Eger

Send to:Marilyn Eger
P.O. Box 751
Lockeford, Ca. 95237

Paid at Lodi art Center: Receipt #:_______________________________________________________

Any credit card or PayPal payment need to be made at:

lodiartcenter.org or at the Lodi Community Art Center.

Class Registration Form:​

Class Registration Form: