FINE ARTS WORK CENTER IN PROVINCETOWN

	, 2010

REGISTRATION FORM

Filling out this form does not guarantee your space in a workshop. Your enrollment is only guaranteed once it is confirmed by our office. We check the online registrations daily during the business week. If you would like to find out whether a class still has space available, call the Work Center at (508) 487-9960, ext. 103 or 104.

First Name	Last Name
Email address	Telephone
Address
City/State/Zip
Emergency Contact:	Emergency Contact Telephone
I have attended a workshop at the Fine Arts Work Center in the past. This is my first time attending a workshop at the Fine Arts Work Center.
How did you hear about FAWC's Summer Program?

WORKSHOPS & HOUSING

Please fill out form below to register. Discounts will automatically be calculated for multiple-course registrations ($50 off each additional workshop after the first. (Excludes Weekend 1 workshops).

The invite-a-friend incentive ($50 discount for each friend who has not previously taken a course at the FAWC) will be applied as a rebate.

Housing is available at $675 per week. Should you require housing, please check the 'housing needed' box next to your selected workshop. If you have any questions, please call (508) 487-9960, ext. 103 or 104.

I would like to register for the following workshops

Weekend 1 : June 12-13
housing not available

Week 1 : June 13-18
housing needed

Week 2 : June 20-25
housing needed

Week 3 : June 27-July 2
housing needed

Week 4 : July 4-9
housing needed

Week 5 : July 11-16
housing needed

Week 6 : July 18-23
housing needed

Week 7 : July 25-30
housing needed

Week 8 : August 1-6
housing needed

Week 9 : August 8-13
housing needed

Week 10 : August 15-20
housing needed

workshops selected weeks housing requested

PAYMENT

I wish to pay the FULL amount now and receive an additional $25 discount
I wish to pay the deposit only at $150/class and $150/week of housing.

Note: Each workshop and each week of housing requires a deposit of $150 to hold your spot. Payment in full is due 30 days before the workshop start date. You will receive a confirmation of your enrollment pending availability.

   $ tuition
   $ fees
   $ housing
   $ discounts
   $ total cost
   $ minimum deposit required

Please list additional discounts to which you may be entitled in the Comments box. These will be processed once approved.

CANCELLATION POLICY: If you find you need to cancel, deposits (less the processing fee) are fully refundable before May 3, 2010. If you cancel after May 3, you will lose your registration/FAWC housing deposit(s). Processing fees are not refundable. If you cancel your registration/FAWC housing less than thirty days before the start of your class, your entire payment will be forfeited. In the unlikely event that we cancel your workshop, we will refund your payment in full.

PAYMENT METHOD

credit card

$ to be charged now.
$ will be automatically charged to my account 30 days before my class unless I call to make other arrangements.
Cardholder Name
Credit Card Number	Expiration Date	Card Type
(digits only please, no spaces or dashes) Card Verification Number*
		*For your safety and security, we require that you enter your card's verification number. This is a 3 digit number printed on the back of your card.

Check

$ check payable to FAWC has been sent.

$ check due 30 days before my class.

Comments

I acknowledge that I have read and understand the cancellation policy. (Required)