Please mail the
following form with your check or money order payable to:
“Hooked
in the Mountains Workshops” and send to:
Mary
Lee O’Connor, 259 Sweetman Road, Ballston Spa, NY 12020
Name (as you would like it to appear on your name tag) __________________________________________________________________________
Address____________________________________________________________________
(City, State,Zip)_____________________________________________________________
Phone _______________________________________________
E-mail
address_______________________________________________________________
Workshops selected (list alternate choices in order of preference)
November
7-9
1st choice__________________________________________________________________
2nd choice__________________________________________________________________
3rd choice__________________________________________________________________
November 10-12
1st choice__________________________________________________________________
2nd choice__________________________________________________________________
3rd choice__________________________________________________________________
November 13-15
1st choice__________________________________________________________________
2nd choice__________________________________________________________________
3rd choice__________________________________________________________________
Total for all workshops $_______________
Please note any special dietary requirements__________________________________________
Make checks payable to “Hooked
in the Mountains Workshops” and send to:
Mary
Lee O’Connor, 259 Sweetman Road, Ballston Spa, NY 12020
