2012 Classes Application Form
Please print, fill out, and return this form to the MAA: 8 Hooper Street, Marblehead, MA 01945.
Date
Name
Address
Phone # (day) Phone # (eve)
Class #1 Day/Time
Class #2 Day/Time
PAYMENT
Class #1 $_______________ Materials Fee $_______________
Class #2 $_______________ Materials Fee $_______________
Total $_______________
Payment Method (check one) ______ Member ______ Non-Member
______ Check enclosed (make out to the Marblehead Arts Association)
Mastercard # Exp.
Visa # Exp.
Signature