Workshop Application

Barb Campbell and Javier Cervantes Workshop

Bend Oregon
Oct. 5th, 6th 7th

Name______________________________________________________________________________

Address____________________________________________________________________________

City________________________________________________________ State_____ Zip__________

Phone (day)_____________________________ Phone (evening)______________________________

Email Address______________________________________________________________________

Please Check One:
CGC Member- $85. ____

Non-CGC Member - $100. ____

(Applications and money need to be in by Sept. 20th. Full refund will be given until Sept. 10th, one half refund until Sept. 20th and no refund after the 20th.)

Send to : (make sure to include check)

Clay Guild of the Cascades
PO Box 172
Bend, Or. 97709