RESERVATION FORM

WENDY MARUYAMA AND MIRA NAKASHIMA
THE TAG PROJECT: EXECUTIVE ORDER 9066

Saturday, April 10th, 2010, 10:00 am to 3:00 pm
Montgomery College

This workshop is $45 for JRA Guild Members, $55 for JRA Members and $65 for Non-Members. 

               

PAYMENT

Please sign up and pay below online, otherwise print and mail in this Distinguished Artist Series Registration Form (Word document).

I/We would like to reserve the following number of place(s) for the Event/Tour.
Name of Event/Tour
Name of Participant
Second Participant Name
Address
City
State
Zip
Home Phone
Cell Phone
Email
Roommate Request
Special notes

Are you a member?  Yes No

Release of Liability: By submitting payment below, I/We hereby waive the filing of any cause of legal action against the James Renwick Alliance (“JRA”) and its event/tour leaders for breach of contract or any intentional or negligent act or omission which results in any loss, damage, delay or injury to me/us, our traveling companions or group members on or during the above named JRA sponsored event/tour. I/We accept the conditions of the above Cancellation and Reservation Policies, as well as the Release of Liability.

 

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