Mail along with your payment or school PO to: The Synthesis Midi Workshop PO Box 1277- Carson, WA 98610 Upon receipt of this registration you will receive back detailed confirmation, itinerary and receipt of your payment. Date: _________________________ First Name: ________________ Last: _______________ Street Address: ________________________________________ City: __________________ State:________ Zip: _________________ Telephone: __________________ Email:_________________________ Payment Method (check one only): Check payable to The Synthesis Midi Workshop School PO payable to The Synthesis Midi Workshop Charge to credit card : Visa MC Amex Discover (circle one) Card #: _____________________________ Exp: ________________ We do not charge your card until the first day of class. You may cancel your registration and receive a full refund or credit within 14 days prior to the workshop starting date. Failure to do so within the 14 day grace period will result in a $50 cancellation fee. In the event of a cancellation due to weather, any other "act of God" ,or due to low enrollment, you will receive a full refund or credit. Credit Card Orders: Enter your address as it appears on your credit card monthly statement: _________________________________________ Your Signature:________________________________ SPU Credit No credit Course Name: ___________________ Dates: _____________ Course Name: ___________________Dates: _____________
Mail along with your payment or school PO to: The Synthesis Midi Workshop PO Box 1277- Carson, WA 98610
Date: _________________________ First Name: ________________ Last: _______________ Street Address: ________________________________________ City: __________________ State:________ Zip: _________________ Telephone: __________________ Email:_________________________
Payment Method (check one only): Check payable to The Synthesis Midi Workshop School PO payable to The Synthesis Midi Workshop Charge to credit card : Visa MC Amex Discover (circle one) Card #: _____________________________ Exp: ________________ We do not charge your card until the first day of class. You may cancel your registration and receive a full refund or credit within 14 days prior to the workshop starting date. Failure to do so within the 14 day grace period will result in a $50 cancellation fee. In the event of a cancellation due to weather, any other "act of God" ,or due to low enrollment, you will receive a full refund or credit. Credit Card Orders: Enter your address as it appears on your credit card monthly statement: _________________________________________
Your Signature:________________________________
SPU Credit No credit
