Send this form along with your check as payment TWO WEEKS
IN ADVANCE to reserve your kit and place in class to:
Pati English
114A Nimmons Circle
Seneca, SC 29678
Today's Date_______________________________________________
Your Name ________________________________________________
Street Address ____________________________________________
City, State, Zipcode ________________________________________
Phone ___________________________________________________
email ____________________________________________________
Basket Choice ____________________________________________
Color Choice(s)___________________________________________
Class Date_______________________________________________
Class Fee Enclosed_________________________________$_____