
| Class Registration Form | The Pottery Works - Fairbanks | |
| PO Box 58358 | ||
| Fairbanks, AK 99711 |
| INSTRUCTIONS: |
|
| Name: | |||
| Mailing Address: | |||
| City/State: | Zip Code: | ||
| Contact Phone: | E-mail address: | ||
| Class Month | No. of Students | Total | Deposit* | Balance Due |
|---|---|---|---|---|
| $ | $ | $ |
Thank you!