Name __________________________________________________________
Address _________________________________________________________
City ____________________________________ State _______ Zip _________
Home Phone ____________________ Work Phone_______________________
Email ___________________________________________________________

Class Title_____________________________________________ Fee _______
Date _________________________________________________
Class Title _____________________________________________Fee _______
Date __________________________________________________
Class Title _____________________________________________ Fee_______
Date__________________________________________________

Total Enclosed ___________

Make checks payable to Sewing Lounge
Credit Card # _______________________________________
Expiration Date ________ Three digit security code on back of card __________
Signature __________________________________

Would you like to get email updates? (the list is never shared) Yes ____ No ____
May I use class photos of you on my website and Facebook? Yes ______ No _____
May I use your first name on my website? Yes ____ No ____