DALLAS MINIATURE SHOW REGISTRATION

List your preference for each day’s class(es), including the class number.

Make check payable to SUZAN HARVILLE and mail to: Please include a self address stamped envelope for confirmation.

NAME_________________________________________________________________________________________

ADDRESS_____________________________________________________________________________

CITY____________________________________________________STATE____________ZIP__________________

PHONE#__________________________E-MAIL____________________________________________________

WORKSHOP# TITLE COST

#___________________________________________________________________________________

#___________________________________________________________________________________

#___________________________________________________________________________________

#___________________________________________________________________________________

$_________________

______PREVIEW BADGE(S)@ $18.00 ————— $_______________

Please list names of more then one Badge. Good both days.

CHECK #_________ GRAND TOTAL. $_______________

MAIL TO:

Suzan HARVILLE

2109 EMMONS AVE.

DAYTON, OH. 45420