|
Student |
Sherry Yost |
|
Registration |
Lost Art Originals |
|
4125 N. Garfield Rd. |
|
|
Spokane, WA 99224 |
|
|
509-244-2260 |
Email:
sherry_yost@lostartoriginals.comWebsite: www.lostartoriginals.com
Name: ______________________________________________
Date: _______________________________________________
Class: _______________________________________________
Class dates: __________________________________________
Bill to
Address: _____________________________________________
City/State/Zip: ________________________________________
Telephone: ___________________________________________
Email: _______________________________________________
(We may periodically send new class schedules)
Method of Payment
(circle one)|
Check / Money Order |
Visa |
MasterCard |
American Express |