4 Nights Reg. Form

IMPORTANT: Only ONE confirmation with directions to the sessions will be sent. PPGBA is a volunteer organization and does not have resources to send weekly reminders.

Note: This form MUST BE sent by US mail
ON OR AFTER 6-9-08

PPGBA "Four Nights" Chairman
Christine Krieg (4nites@cksworld.com)

Send your registration with your payment to:

Christine Krieg Photography
748 Page Street # 9
San Francisco, CA 94117

checks should be made payable to "PPGBA"

FORMS POSTMARKED BEFORE THIS DATE
WILL NOT BE ACCEPTED

A student may cancel 5 days or more before the start of the series, with a $20 non-refundable administration fee. After that date, no refunds are possible.

 

5/08 Four Nights Registration Form



Amount Paid


_____ PPGBA member ($100) _____ non-member ($150)

2007 GGS Alumni Rate
_____ PPGBA member ($50)_____ non-member ($75)

First Name
 

 

Last Name
 

 

Daytime Phone #
 

 

Mailing Address
 

 

City
 

 

State
 

 

Zip Code
 

 


E-mail Address

 

If paid by check, check # enclosed

 

Mastercard or Visa credit card #

 

Credit card expiration date

 

If paying by credit card, what is the zip code for your credit card billing address (if different from above)?

 

Signature of Credit Cardholder