Please Print and Mail to:
Francois Piche
730 6th Street
Verona PA 15147
Make checks payable to “Coal Country Traditions”.
Please check the workshops you are registering for:
| Pricing | ||
| Regular | Student | |
| Weekend package (Fri evening workshop and dance, Sat workshops, Sun workshops) |
$70 | $50 |
| Saturday package (Fri evening workshop and dance, Sat workshops) |
$40 | $30 |
| I have enclosed | $ | |
I have enclosed $_________
Name ____________________________________
Address ____________________________________
City _________________ State ______ Zip ________
Phone (eve.) __________________
Phone (day) ___________________
Email _______________________________________________