Workshop Enrollment Form

Brooks Institute of Photography

Workshops

Workshop Enrollment Form INFO LINE: 805.879-8688 To enroll for our workshops, please print and fill out this application form and fax or mail it to our Workshops Coordinator. Please call for confirmation one week prior to the workshop. While class sizes are limited to to ensure optimal intructor to student ratio, there is a minimum requirement of ten students per workshop. FAX : 1 805.879.8689 Attention: Marshall Dennen Workshop Coordinator MAIL : Brooks Institute of Photography Attention: Marshall Dennen - Workshop Coordinator 27 East Cota Street - Santa Barbara, CA 931O1

NAME FIRST NAME MI LAST NAME ADDRESS NUMBER & STREET CITY STATE ZIPCODE DAYTIME PHONE E-MAIL ADDRESS Please enroll me in: Course: onCourse: onCourse: onCourse: onCourse: onPlease enroll me for the BROOKS IN A WEEK programPlease enroll me for the FIVE @ NINE program (high school students only)TOTAL $APPLICANT'S SIGNATUREPAYMENT METHODEnclosed is my check made payable to Brooks Institute of PhotographyCharge my VISA or MASTERCARD :CARD NUMBER: EXPIRES: PRINT CARD HOLDER'S NAME CARD HOLDER'S SIGNATURE I hereby authorize Brooks Institute of Photography to charge my credit card for the TOTAL amount listed above.
Complete refund until one week before the course, less a $25 administration fee.
Print and fill out this application form and fax or mail it to our Workshops Coordinator.

Brooks Institute of Photography, 8O1 Alston Road - Santa Barbara, CA 931O8, 8O5.879.8688