JANIE'S KITCHEN CLASSES REGISTRATION FORM

JANIE’S KITCHEN CLASSES REGISTRATION FORM Name: ______________________________________________________ Address: ____________________________________________________ City / State / Zip: ____________________________________________ Email: ______________________________________________________ Phone: _____________________________________________________

# of Attendees

Class Truffles Dumplings Crepes

Additional Attendees (name and phone): ____________________________________________________________

Texas BBQ

____________________________________________________________

Knife Skills

____________________________________________________________

Canning Jam

Mail this completed form with payment (checks payable to CCEUC) CCEUC 232 Plaza Road, Kingston, NY 12401 Credit Card Payments: Type of card (check one): ____Visa ____MasterCard

Sushi Rolling Dehydrating Pasta

Card Number: ____________________________________________Exp. Date: _______Month ______Year Amount to be charged: $ __________ Name as it appears on card: __________________________________ Signature (Required): ____________________________________