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registration form

Page history last edited by michianawriterscenter@... 14 years, 1 month ago

MWC Class Registration Form

Please print and mail this form, with payment by check (made payable to Michiana Writers' Center) to:

Michiana Writers' Center

c/o Kathy Higgs-Coulthard, Director

33499 Old Post Road

Niles, MI 49120

Name of person attending class:

If under 18, parent name:

e-mail:

Home Address:

phone:

Class title & Dates:

Amount of payment:

Check #:

How did you hear about this class?

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