San Francisco Ceramic Circle

S.F.C.C. 1999 SEMINAR REGISTRATION

TO REGISTER FOR THE SAN FRANCISCO CERAMIC CIRCLE 1999 SEMINAR COMPLETE AND MAIL THIS SECTION TOGETHER WITH A CHECK MADE PAYABLE TO "S.F.C.C." IN THE AMOUNT OF THE TOTAL DUE TO :

SAN FRANCISCO CERAMIC CIRCLE

P.O. BOX 15163, SAN FRANCISCO, CA 94115

Registrants will be issued their seminar information folders at the seminar check in desk

NOTE: THE DEADLINE FOR RECEIPT OF REGISTRATION IS WEDNESDAY, 13th JANUARY 1999.

NAME(S) as you want it to appear on your registrant name tag (please print)

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ADDRESS

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PHONE (evenings)

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REGISTRATIONS REQUIRED (enter number of each type and cost)

SFCC Member:.........registrations @ $120.00 each...$............

Non member.............registrations @ $145.00 each..$............

Donation (Optional)............................................$............

Total................................................................$............

LUNCHES REQUESTED

The available lunch selection is Salmon (S), Game Hen (G) or Vegetarian (V). Please make your choice(s) and enter the appropriate symbol beside the name of each registrant above and the total of each type below.

SALMON...............

GAME HEN............

VEGETARIAN........

PLEASE LIST ANY SPECIAL REQUIREMENTS BELOW: