Artspace Community Arts Center
	15 Mill Street, Greenfield, MA 01301
	Phone: 772-6811      Fax: 413-772-6800
	Email: info@franklyarts.com

BACK to Main Menu / School Policies and Procedures Art and Music Classes / Additional Programs / Faculty

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Art & Music Class Registration Form Online: Fill out this form and click submit Phone: (413) 772-6811 Fax: Print this form and fax it to (413) 772-6800 with credit card name, number and expiration date Mail: make checks payable to Artspace Community Arts Center and send to Artspace, 15 Mill Street, Greenfield, MA 01301 Please fill out one form for each class.

	1. Student and Class Information

	Student's Name   Address   City      State   Zip  Home Phone   Work Phone   Email   If under 18 ... Student's Age      Parent/Guardian Name      Address      City    State    Zip      Class/Lesson Title   Instructor's Name   If private lesson - preferred time

	2. Choose A Payment Option (Click here for explainations)   Option I - Full Option II - Half Option III - Quarter

	3. Charges

Class/Lesson Fee   Materials Fee   Discount (Minus 5% for Artspace Donors of $50 level or higher)   Registration Fee   Payment Plan Fee (Option II and III)   TOTAL

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	4. Scholarship/financial aid information. (Click here to fill out a financial aid form online.)

	3. Please charge my fee to   Visa MasterCard

	Account Number   Name   Expiration Date