Home
Brochure
Application
Instructor
Products
Videos
Links
Doll Hospital
DDA
Seminar students

Application

STUDENT_________________________________Telephone_____________

ADDRESS_________________________________________________

CITY, STATE, ZIP___________________________________________

Email____________________________________________________

I wish to attend the G & M Doll Restoration Seminar held on:                                                                                      

 _____October 9-11, 2008

Payment Requirements: Send application with deposit of one third($498.00) cost of seminar and make check  payable to  JoAnn  Mathias. Second payment of one third cost($498.00) of seminar due 60 days before date of seminar. Third payment of final third($499.00) cost of seminar (plus any extras if ordered) due 30 days before date of seminar. Payment of equipment package due 4 weeks before seminar. MasterCard and Visa available. Mail application to: JoAnn Mathias, Beach Doll Hospital, 6204 Oceanfront Avenue, Virginia Beach, VA 23451-2142. 

Credit Card #_________________________________Exp. Date________

Name on Card_____________________________Amount_____________

_____ I wish to order the equipment package -Right/Left Handed (Circle One)

Liability:I have been informed that this course of study involves the use of some materials and tools considered hazardous by various determining governments and companies.  I ___________________________ do not expect to have any problem using these products and sign this release of any liability against the instructors or various manufacturers if injury should occur.

Signed___________________________Date____________

Back to Top                Use your computer to print this page