Enrollment Application

Summer, 2004 Platypus Workshop

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Application Deadline: June 1, 2004 

 

 

Enroll me for (check one): 

 

________ Participant ($1200)  

________ Student ($400)  

Enrollment is on a first-come basis. We recommend you enroll early. 

 

Tuition fees are fully refundable except for cancellation without notice.

   

Name:______________________________________  

Employer:___________________________________  

Home Address:_______________________________  

City:________________State:_________Zip________  

Email Address:________________________________  

Home Phone:______________Work:______________  

Credit Card (Visa/MC):__________________________ 

Expiration:___________________________________ 

 

FAX or MAIL your completed application and

check or money order, in US dollars, to: 

Brooks Institute of Photography

Platypus Workshop

801 Alston Road

Santa Barbara, CA 93108

http://workshops.brooks.edu

Fax 805-564-4618