Homeschool Book Club Registration Form

Homeschool Book Club Registration Form

<p> Homeschool Book Club for Early Elementary Students (Recommended for students ages 6–9)</p><p>An Eye for Color: The Story of Josef Albers by Natasha Wing</p><p>Tuesday, April 27, 2010, 10 a.m.–noon</p><p>Parent’s name______</p><p>Phone ______E-mail______</p><p>Address______Street City, State Zip Code</p><p>Homeschool group (if applicable) ______</p><p>Child’s name Age (must be 6–9 years old)</p><p>______</p><p>______</p><p>If you need additional room, please attach a sheet with the children’s names and ages.</p><p>I am paying: _____ museum members: $20 per child</p><p>_____ nonmembers: $25 per child</p><p>If paying by credit card: </p><p>Type of card (please circle one): Visa MasterCard American Express</p><p>Name on card ______</p><p>Card number ______Expiration______</p><p>Signature ______</p><p>To register, please call 817.989.5030 or e-mail [email protected] to place your name on the list. Credit card payments are accepted by fax or phone. Checks should be made payable to Amon Carter Museum and mailed to the address below. A confirmation notice will be sent only when payment is received.</p><p>Homeschool Workshops Amon Carter Museum 3501 Camp Bowie Boulevard Phone: 817.989.5030 Fort Worth, Texas 76107-2695 Fax: 817.989.5039</p><p>Payment for each program is required in advance and is nonrefundable.</p>

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