Visual Arts Association of Livonia
WINTER 2012
REGISTRATION FORM
(Print this page and mail to address below) -- Click the VAAL logo or here to go back.
REGISTRATION DATES: Members - Beginning Dec 2
Open Registration: Members and
Non-Members - Beginning Dec 9Classification: [ ] New to VAAL [ ] Member [ ] Non-Member
Name: __________________________________________________________________________
Address: ________________________________________________________________________
City/Zip:_________________________________________________________________________
Phone: __________________________________________________________________________
(Home) (Cell) (Work)
E-Mail Address:__________________________________________ New Email [ ]
[ ] I will look up noted supply lists online [ ] Please mail list
No.
Class Name
Day
Time
Instructor
Tuition
No.
Class Name
Day
Time
Instructor
Tuition
No.
Class Name
Day
Time
Instructor
Tuition
No.
Class Name
Day
Time
Instructor
Tuition
TOTAL AMOUNT ENCLOSED: $___________
Make checks payable to VAAL and send to:
Diana Jamrog
15722 Woodside
Livonia, MI 48154Questions? Contact: www.vaalart.org
Diana Jamrog at 734-838-1204
e-mail: vaalart@yahoo.com