Workshop Registration Form

Name:____________________________________________________________

Address:__________________________________________________________

Phone:____________________________________________________________

Email:_____________________________________________________________

Website:___________________________________________________________

Workshop Date:___________________________Instructor:__________________

DWS Member____ Non-Member____

Please print and return form to Donald Blow, Workshop Coordinator
821 Fayette Road, Smyrna, DE 19977
Phone: 302-653-6496
Email: artisto1@comcast.net