Adults: $45 in advance, $55 at the door.
Seniors and Students: $35 in advance, $45 at the door.
Make checks payable to: Eastern Ohio Arts Council
| # Adults | ____ | @ $45 = |
__________ | |
| # Seniors/Students | ____ | @ $35 = |
__________ | |
| # Lunch | ____ | @ $7 = |
__________ | |
| Total Registrations | ____ | Total Amount Enclosed |
__________ |
|---|
| Name: | ______________________________________________________ | ||||
| Address: | ______________________________________________________ | ||||
| City: | ____________________ | State: | __________ | Zip: | ___________ |
| e-mail: | ______________________________________________________ | ||||
Make checks payable to: Eastern Ohio Arts Council
Please send this form with check to:
Eastern Ohio Arts Council
c/o Ohio University Eastern
45425 National Road
St. Clairsville, OH 43950
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This file was last revised on November 1, 2006.
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Copyright © 1998 Ohio University Eastern