(required fields are in orange)

Your name:

First: Last:

Address:

Street:

City: State: Zip:

Phone:


E-mail: (you will be added to the Manifest email list)

Status: (select one) Student Professional Instructor Novice

Method of payment:
(payment instructions will be provided after you submit your registration)

Check or money order
(Send to Manifest DRAWING CENTER, P.O. Box 6218, Cincinnati, Ohio 45206)

Credit card via PayPal
(Payment link will be provided on the page that follows after the submission of this form.)

You are registering for and agree to pay the fee for this workshop:
(check box to confirm)

YES - Days of December 9-11 (three days) - $450 by December 2

 

Double check the information you entered above. Clicking SUBMIT indicates that you understand the nature of the course, the studio environment, and that your fee is non-refundable except in the event of session cancellation. If you receive an error please click your browser's back button and be sure all required fields are completed. Please note that by submitting this form you are obligating your payment of the fee because Manifest will plan the course based on the registrations received.

(A copy of your registration will be automatically sent to the e-mail address you provided.
Please print and retain the e-mail for future reference.)