Registration Form

A $60.00 non-refundable, non-transferable deposit is due at the time of registration with the balance due three weeks before the seminar starts.   
 Please email, phone, or email registration form to:

Heirlooms From The Heart Folk Art Studio

2677 North Old Trail
Shamokin Dam, PA   17876
Phone:  (570) 743-4141 or (866) 772-2667

Name ________________________________  Email _______________________________

Address ____________________________________________________________________

City __________________________________  State _________Zip ___________________

Phone ________________________________  Cell Phone ___________________________

Seminar ________________________________________ Dates _______________________

Dep Amount _______________ Credit Card# ______________________________________

Exp Date _________________ Three Digit Security Code on Back_____________________

Be Prepared for Class!

You are responsible to get your prep instructions and surface before class.  Please complete all required prep work and be ready for class!!  Seminar refunds only given if we cancel the seminar.  Project surface must be purchased at Heirlooms From The Heart Folk Art Studio.  Seminars subject to cancellation 2 weeks prior to class due to insufficient registration.

Cell Phones:  Please be considerate of others and refrain from using cell phones during the seminar!

                                                Suggested Lodging

Comfort Inn                                   Hampton Inn                                 Phillips Motel
710 South US 11 & 15                    Rtes.  11 & 15                               Rtes. 11 & 15
Selinsgrove, PA  17870                   Shamokin Dam, PA  17876            
Shamokin Dam, PA 17876
(570) 374-8880                               (570) 743-2223                              (570) 743-3100

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All graphics, designs & artwork on this site are copyright protected.  Artwork may not be reproduced in any form or by any electronic, digital, or mechanical means including information storage & retrieval systems. 
Website Created & Maintained by Kathy Owens /