Please print this form, fill it out and mail it with your check to:

          Lois Jarvis
          4625 Tokay Blvd
          Madison, WI 53711

    Make checks payable to: Lois Jarvis
    Questions?   Email me at
    or phone 608-238-9758

I would like to come to Swiss Finishing School this year, please sign me up for:
 

January 27 & 28, 2012   $160.00  - 50% deposit due by Monday, January 16, 2012
 

Name______________________________________________________________


Address____________________________________________________________


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Phone Number_______________________________________________________


E-mail______________________________________________________________



Room mate preference__________________________________________________

Single rate available on request.