NAME:________________________________________________________________

ADDRESS:____________________________________________________________

CITY:_________________________________________________________________

STATE:__________________________________ ZIP:_________________________

TELEPHONE: (day)_______________________ (eve)_________________________

e-mail: _______________________________________________________________

OCCUPATION:________________________________________________________

EMERGENCY CONTACT:

NAME:_______________________________________________________________

TELEPHONE:_________________________________________________________

DO YOU HAVE A SPECIAL DIET?

Please tell us about your carving experience. Include a separate sheet if you wish.

Workshop Tuition is $850 (including tax) which also includes one cubic foot of limestone,
and lunch each day ($775 for RETURNING STUDENTS).

Workshop

Session 1 $850.00 USD Session 2 $850.00 USD Returning Student Session 1 or 2 $775.00 USD

,

Students are accepted on a first-come, first-served basis. In order to reserve a space you must pay using PayPal,
or send a deposit to us in the form of a check payable to SOUTHWEST STONEWORKS for $400.
Please note that the balance is due three weeks before the workshop begins.

Mail the completed application form to:

SOUTHWEST STONEWORKS
PO BOX 248
DIXON, NM 87527
ATTN: SAX STONECARVING WORKSHOP

 

or e-mail the completed application form to:

riftgallery@yahoo.com.

* Applicants are accepted on a first-come, first-served basis.

* If a pre-registered applicant has a change of plans, a refund, subject to a $75 cancellation fee,
will be made if the applicant's position can be filled from the waiting list.

* No refunds will be given after MAY 28, 2012.

* In the event of the cancellation of the workshop due to unforeseen circumstances,
all payments will be refunded in full. We assume no responsibility for travel costs.