Class Registration Form:
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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.