Note: Both partners must register for the workshop together
Please print this form, fill it out, and mail it as directed below
Name of one partner: __________________________________________________
Name of other partner: __________________________________________________
Mailing address: __________________________________________________
City - State - Zip: __________________________________________________
Phone number: __________________________________________________
E-mail address: __________________________________________________
Date submitted: __________________________________________________
$300 fee paid by Check Number ___________________ payable to Avalon Resort
/OR/ by Credit Card [ ] (call Nancy for details)
Mail to be received no later than March 11, 2009, to:
Nancy Goodpasture Castro
Rt 6, Box 66F
Fairmont, WV 26554
