Guedra Workshop Registration Form

Name:_______________________________________________________

Address:_____________________________________________________

Telephone: (work)______________________________
(home)______________________________

Email:____________________________________________

____Guedra Workshop @ $35 prepaid by November 8^th

____Guedra Workshop @ $40 paid after November 8^th

Please note that to receive the reduced rate, your registration must be postmarked by Saturday, November 8, 2008.

Please make checks payable to Amara and send to P.O. Box 3975, Gaithersburg, MD 20885.