Please print this page, mail the completed form to the address below.
Please go to on-line registration if that is preferred.

Name: __________________________________ 

Address: ___________________________________________________

City: __________________ Province / State: __________  Country: _______  Postal Code:           

Phone: ( ____ ) _________   E-mail: ____________________

I would like to register for "Chinese Brush Painting Workshop"

Please indicate which days:  _____________, 2009

Fee: Canadian $30 for each lesson.
Painting supplies can be purchased in class (approximately $25 for basic painting kit)

Send Cheque to address below or pay by Credit Card.

Credit Card No./ Exp. Date:___________________________________________________

Eileen Fong
Email: eileenfong.art@gmail.com
6635 St. Charles Place
Burnaby, B.C., Canada  V5H 3W1
Phone: (604)  432-1341 
website:  http://www.eileenfong.com