Workshop Registration Form

Name:           
Agency:
Title:
Address:
Phone:
Email:

Please circle fees and registration date:  April 7 or October 6 

April 7 Course Date
Postmark By:                                      3 people same agency/same envelope
February 15               $75.00                         $65.00 per person
Feb 16 – April 6         $90.00                         $80.00 per person
At the door                $125.00                       $125.00

October 6 Course Date
Postmark By:             
August 15                  $75.00                         $65.00 per person
August 16 – Oct 5      $90.00                         $80.00 per person
At the door                 $125.00                       $125.00

Vendor Tables:   $150.00 in addition to registration
Limited number of skirted tables at $150.00 with paid registration.  Set-up at 8:00 a.m.
Closed February 15 for April 7 and closed August 15 for October 6. 

TOTAL:  ___________

Send Check or Money Order Payment to:
Center of Design/Memory Garden
9027 NW Bartholomew Drive
Portland, OR 97229

For questions, please contact Eunice Noell-Waggoner, Eunice@centerofdesign.org , 503-292-2912 or Teresia Hazen, thazen@lhs.org   503-413-6507.

Confirmation packets to be sent via email will include maps to the garden and workshop location.
Learn more about the Portland Memory Garden at Portland Parks & Recreation website:  http://www.portlandonline.com/parks