Registration and Video Order Form For workshops where Lois is the contact: please make checks payable & mail to: Lois Griffel, 3363 S. Calle del Albano Green Valley, Arizona USA 85614. All other workshops will receive separate registration forms from the contact person. Name: __________________________________________________________ Address: ________________________________________________________ City: ________________________________ State: _________ Zip:________ Phone: day: __________________________ eve: ______________________ Email: __________________________________________________________ Workshop Name & Date: ___________________________________________ Deposit ($100 per Workshop) ______ Total:_________ Video/Videos Vols: _________________ Total: _________ Grand Total: _______________________ Check enclosed payable to Lois Griffel for total due:    Yes_____ Please charge my: (check one) Master Card ___   Visa ___   Account Number: ________________________ Exp. Date: ____________________________ Signature: _________________________________ Date: _____________