Print this registration form and mail to :

Byron Kindig

5121 Red Robin Ln.

Kingsport, TN 37664 .

                                                       REGISTRATION FORM

     Event Title (Blender Basics Class, or Blender Conference or BothS.)

   __________________________________________________________

      Your Name, Address, Phone and email: 

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

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      Prepayment Amount: _______.     Make checks payable to Byron R. Kindig .

      For information call me at (423) 863-2864 or email me at byron@paraisoenterprises.com  .