Workshop Registration Form (please print out and mail - see special mailing info below)

Workshop City:____________________________________________________________

Name____________________________________________________________________

Address__________________________________________________________________

City, State & Zip____________________________________________________________

Phone #'s Day________________________Eve_______________________________

E-Mail________________________________________________________________

Membership in any of the following organizatons gives you a $25.00 discount:
____Graphic Artist Guild
____Society of Illustrators of Los Angeles
____Society of Illustrators of New York
____Society of Illustrators of San Diego
____Society of Illustrators of San Francisco
____Society of Illustrators of________________
____SCBWI
____IPA
____Other Professional Org._________________________________

Students also get a $25.00 discount
____School__________________________________________

Cost Information
$200 ____ - Workshop
$ 75 ____ - Individual Half Hour Review
$125 ____ - Individual Hour Consult/Review
$225 ____ - Day Of Event Registration
-$25 ____ - Applicable Discount (only 1 discount per person; see list above)
$________ - Total Enclosed

Payment Check______Money Order______Cash______

Checks or Money Orders payable To: Cheryl Phelps
Mail To: Cheryl Phelps 76 Irving Pl.5B NY,NY. 10003

SPECIAL PAYMENT AND MAILING INSTRUCTIONS
** For SF & LA only- Before Sept 24th to: Cheryl Phelps

After Sept 24th Mail To: 176 Julian Ave. #1 SF, CA. 94103 c/o G. Conover

SF contact phone # Sept 29-Oct 9th only- 415-863-6523.

** For LA only- From Oct. 9-15th contact me via email about payment if you
haven't paid for the LA workshop by above dates.

** For NY: Mail To: Cheryl Phelps

** For Boulder only- Mail To: Cheryl Phelps by Nov. 5th
After Nov. 5th, Mail To: 540 Pleasant St. Boulder, Co. 80302
c/o Roberta C. Morales 303-417-1198 (Home) 303-819-8110m (cell)

My contact #347-668-8299 on the road only.

Additional Info call 212-533-8236 or e-mail cheryl@cherylphelps.com