PEARS 11th Annual Workshop Registration

June 7 – June 18, 2010

Guest Printmaker: Catherine Chauvin

Registration Fee Options *Nonrefundable $200 deposit postmarked March 30 to

receive $50 discount / regular deposits due
May 1 for 600 level and non-credit participants only

_____$650 Professional non-credit (includes one month studio rental)

_____$700 Graduate 3 credits (600 level-Profesional Development Credits)

(includes one month studio rental)

_____$50 Lab usage fee (for 600 level and non-credit participants only plus material
purchases extra)

_____ Undergraduate 3 credits -register online ART 270/370/470; beginners take

494 (lab/materials fee included)
*no deposit needed & no discounts available *approximate cost : $850 including
lab/materials fee

_____$300 registration for auditing (observe only/no discount/no lab fee/depends on

space availability)

_____Sub-total Registration Fees

please type or print:

Name

______________________________________________________________________
________

Address
______________________________________________________________________
_______

Institution
_____________________________________________________________________
______

City_________________________________ State_______ Zip code

____________________________

Phone (day) ( ) __________________________ (eve) ( )

_____________________________

e-mail ___________________________________________
SS#______________________________
(Needed if taking for credit)

#____________________________________________________________________________
_____
card number exp. date
X
______________________________________________________________________________
__
signature date

Method of Deposit Payment

$200

______ Registration Fee ______ check (payable to NDSU)

______ $50 Lab Fee (600/non-credit only) ______ MasterCard/Visa/Discover
(circle one)
______ less $50 by March 30th (600/non-credit only)
______ Total fees due
______ Total fees paid ______
Registration fees remaining

Fee balance plus materials due beginning of workshop. Deposit non-refundable.

Please copy for your records.

Mail to: PEARS2010, NDSU Distance & Continuing Edu, 1919 N University
Dr, Fargo, ND 58108-6050
For info e-mail: Tammy.Erdmann@ndsu.edu phone: (701) 231-8818 fax: (701)
231-5773