Les Amis du numéro 9 - Apply for the Experimental Art Workshop

Apply for the Experimental Art Workshop

To apply for a place on the Experimental Art Workshop please fill-in the following form.

Name
Address
Postcode
Email	Please ensure your email is correct
Main Phone Number
Mobile Phone Number
Select the Date	8th - 15th July 2006
Details of your experience and qualifications
Payment Method	By Euro cheque / International Money Order Bank Transfer PayPal Other
Special Dietary Requirements
Occupation / Interests / Other Information
Where did you hear about the course