Proud Member of the Professional Picture Framing Association

 

Arts & More... Gallery 

Art Class Enrollment Form

Please complete the following to enroll for the upcoming classes.

Contents

bulletContact Information
bulletBilling Information
bulletStudent Information
 

Please select one of the following:    Jan 2006 Class March - 2006 Class

Please choose one of the following classes:

Please provide the following contact information:

If you are a student under the age of 18, a Parent or Guardian Must Complete this Form.

Parent/Guardian - First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

Student Information:

Name
Select Age
Classes  BILLING
Credit Card
Cardholder Name
Card Number
Expiration Date

All applications are approved when payment is received by Arts & More... Gallery - In order to Begin on-line lessons each week you will be required to enter your Student Password - This will allow you to open the weeks lesson plan. - Please press the submit button and you will be directed to a form to 
create your user name and password. 

For further information please contact Cathy Dupertuis by phone 618-282-6002or e-mail cathy@artsandmoregallery.com
Copyright © 2005 Arts & More Gallery. All rights reserved.
Revised: March 22, 2007