Please print this page, mail the completed form to the address below:

Name: __________________________________ 

Address: ___________________________________________________

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

Phone: ( ____ ) _________ Fax: ( _____ ) _________  E-mail: ____________________

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

Pease indicate which days:  ______, 2008

Fee: Canadian $88  for each session of 4 lessons.
Painting supplies can be purchased in class (approximately $25 for basic painting kit)

Credit Card No./Exp. Date:____________________________________________________
Or Send Cheque to address below.

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