Olivewood Series: Workshop Registration

Please provide the following information to register for the Olivewood Series Workshop. Be sure to indicate if you are also attending the 140th Anniversary Celebration in conjunction with the Workshop. Note that there is a $25.00 registration fee for the workshop, payable via Paypal after submitting this form.

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Name:*

Address:*

City:*

State:*

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Email:*

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Phone: (format 000-000-0000)*

Please select one of the following:*

I plan to attend only the NCPTT workshop. (Cost: $25)
I plan to attend both the 140th anniversary celebration and the NCPTT workshop. (Cost: $25)

Total # Attending Celebration:*

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