Registration Form for Midwest Crystal Conference & Expo 2007

Name : ____________________________________________________________________
Address : ____________________________________________________________________
City : _________________________ State : _______ ZIP : _________________
Daytime Phone : ________________________ Evening : _____________________________
Text Box: Options Available anytime: Full Conference Fee (all 3 days): $325 (Circle Melody or Elivia’s Saturday class) Saturday and Sunday only: $225 (Circle Melody or Elivia’s Saturday class) Optional Donation .......................... $20 Registration Total ........................... $____

 

 

 

 

Text Box: After March 1st, the following options are being offered subject to availability: ∙ Melody Class only: $80 ∙ Other (non-Melody) Individual Classes $50/class (plus applicable expo fees - $10/day; $15 for 3 days) Class Title (Date/Time) Fee 1._________________________ __________ _______ 2._________________________ __________ _______ 3._________________________ __________ _______ Applicable Expo fee ($10/day; $15 for 3 days) _______ Optional Donation .............................................................................. $20.00 Registration Total .............................................................................. $______

 

 

 

 

 

 

 

 

 

Fax : ____________________________  Email : ________________________________

• Please make check/money order payable to FourWinds Academy.
• Mail registration form & payment to: FourWinds Academy 4157 Crossgate Drive Cincinnati, Ohio 45236. Questions? Please call (513) 542-4400

❏ Visa ❏ MasterCard ❏ AmEx
Credit Card Number __________ - ____________ - ___________ - ___________
Expiration Date ______ / ______
Name of Cardholder (please print) __________________________________________
Signature of Cardholder _________________________________________________
For tickets to Saturday’s Toby Christensen Concert, see www.healingdrummer.com or call Barbara at (513) 225-5788.

You can also download a pdf version of this form here