REGISTRATION FORM FOR CLASSES AT TRUE MOSAICS STUDIO 

                  Please fill out this form and include it with your registration check. 
                  If you can not download/ print this, please include this info on your own 
                  paper. 
                  

                  NAME:______________________________________________________

                  ADDRESS: 
	
                  ______________________________________________________ 
	
                  ______________________________________________________ 

                  PHONE NUMBERS: 
	
                  DAY __________________ 
	
                  EVE __________________ 
	
                  CELL _________________
                  
                  
	
	
                  EMAIL ADDRESS:
	
                  ___________________________________

                  NAME OF COURSE YOU ARE REGISTERING FOR: 
							
	
                  ___________________________________________________ 

                  DATE OF COURSE YOU ARE REGISTERING FOR: 
							
	
                  ___________________________________________________ 
							
							
                  COURSE FEE: 
							
                  $_____________ Please make checks payable to: TRUE MOSAICS STUDIO 

                  ARE YOU A NEW OR RETURNING STUDENT? 
							
	
                  ___________________________________________________ 
							
                  OTHER COURSES TAKEN AT TRUE MOSAICS: 
							
	
                  ___________________________________________________ 

                  HOW DID YOU HEAR ABOUT TRUE MOSAICS COURSES? 
							
	
                  ___________________________________________________ 
	
							
                  SEND TO:
                  TRUE MOSAICS
                  C/O LAUREL TRUE
                  2142 8TH AVE.
                  OAKLAND, CA
                  	94606