LRWA Online Workshop Check Sign Up Form

Please print and fill out this form, sign and send it along with a check for $16 US (made out to LRWA) to the address below. Your payment is due on/before the 20th of the month prior to your selected workshop.

CANCELLATION AND REFUND POLICY: No registration fees will be refunded. All payments for a workshop must be received by the registration cut off date. Payments received after the cut-off date can be applied to a future workshop of the Applicant’s’ choosing.
EXCEPTION: Medical Emergencies only.

In the event a workshop is canceled due to unforeseen circumstances, such as instructor inability to teach class, registration fees will be applied to a future workshop of the applicant’s choosing.

A Confirmation Letter of Payment will be sent promptly. Invitations to the workshop are sent 3 days prior to the start of class. If you pay for a workshop and do not receive a confirmation letter and an invite please contact the Online Workshop Coordinator immediately.

Workshop Title:____________________________________________

Month of Workshop: ________________________________________

Your Name:______________________________________________

Street Address:____________________________________________

City, State, Zip:____________________________________________

Email Address:[Print]________________________________________

Phone:[Day]_______________________  [Eve]___________________

LRWA member #_______  Non-member_______

Check #:_______________  Amount of this check:__________________

Print Name_________________________

Signature___________________________  Date_________________

Complete, sign and send this form in its entirety along with your deposit to:

Veronica Alderson
LRWA Co-Treasurer
4206 Sweet Gum Crossing
North Charleston, SC 29420