REGISTRATION FOR

MARY ANN BECKWITH WATERCOLOR WORKSHOP October 21-23, 2005

Cost $200 Members and $230 Non-Members

Name ______________________________________________________________________

Address ___________________________________________________________________

City/State/Zip ____________________________________________________________

Phone: Home ___________________________ Work ______________________________

Enclosed is my check for $______________ Check Number______________________

PLEASE SEND DEPOSIT AND FEE TO:

The Saint Louis Watercolor Society, P.O. Box 158 , Fenton , MO 63026