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Reborning Workshop Registration
$225 per student, please register each student separately.



Name: _______________________________________________________________________


Address:______________________________________________________________________


City: ________________________________________  State: _________  Zip: _____________


Phone: (___________)___________________________________________________________


E-Mail: ________________________________________________________________________


 


Method of Payment

Money Order  |  Check  |  Visa  |  Mastercard  |  American Express  |  Discover

Credit Card Number: _____________________________________________________________

Expiration Date: __________________  CCV (three digits on back or four on front for AMEX): ________________

Make checks payable to Sauder Village.


 

Send Registration Form to

Doll Reborning Workshop
Sauder Village
PO Box 235
Archbold, OH 43502