INFORMATION REQUEST FORM
Southern California Residents Only!



If you are in the Los Angeles/Orange County area I am available for private and group classes. I have special requirements for Private Students, as well as group classes. Private students are accepted by referral only. If you have not studied with me in an ONLINE Course (This excludes the correspondence course by mail.), then you must be referred to me. The person referring you must be someone I have known for at least 3 years and has known you on a personal basis for 3-5 years.

If you would like me to teach at your shop or provide a one day seminar, please fill out the form below. I require students to pre-pay for seminars, or leave a 50% deposit for group classes with at least 20 students per class. For group classes your shop must be in one of the following Southern California areas: Orange County, Beach cities from Long Beach to San Juan Capistrano.




Name:

Business Name:

Adress 1:

Address 2:

City:

State:

Zip Code:

Phone:

Email:


I am interested in:

GROUP CLASSES AT MY SHOP:

SCHEDULING A SEMINAR AT MY SHOP:

PRIVATE LESSONS













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Copyright1996 Cougar SilverMoon, JL Hoyle