E-mail information to Arvola@bigplanet.com        
OR print this page and fax to 281.392.2519

Name:_______________________________________________________________________

Address:_____________________________________________________________________

______________________________________________________________________________

Age:_____________________________Years of study:____________________________

Telephone:__________________________________________________________________

Fax:_________________________________________________________________________

E-Mail:_______________________________________________________________________

Please check appropriate workshop you will attend:

__________Bartlesville Workshop

Make checks payable to:

Arvola-Ahonen
P.O. Box 800756
Houston TX 77280

Non-Refundable deposit check must be received by April 1, 2010!