Creative Re-Sources


Course Dates_________________________

Name  __________________________________________________

Address      __________________________________________________



Phone Numbers:   (day)________________ (evening)_______________

E-mail address:     ____________________________________________

My 50% Deposit is Enclosed For:

Section I
ReSurfacing Workshop ($295.00)  ________________________

Section II  ($500.00)    ________________________

Section III ($1500.00)    ________________________

Total Deposit     ________________________

Just print and fill out form.  Send along with payment to the address below.  Thanks!
Payment may be made by Cash, Check , Money Order or Credit Card payable to:   Creative Re-Sources

Creative Re-Sources
27887 Timber Road
Kelley, Iowa  50134