Meeting of Figurative Painters - Registration Form

Personal Information :


Surname :
Given Name :
Address :
City :
Province or State :
Country :
Postal/Zip Code :
Home Phone Number :
Work Phone Number :
Fax Number :
Email Address :

I am a mobility-impaired person. Please explain:

How did I learn about this workshop :

Resume :

Meal :

Since lunch is included, please inform us, if need be, of your special needs.

I am a vegetarian

I have food allergies :

Comments :

For Information:

Email Address:
By fax: (418) 435-0126
By telephone: (418) 435-5875 ou 1-800-761-5150

 © All rights reserved, Rêves d'automne, Festival of painting, 2011
Credits Photos: Marc Archambault, J-F Bergeron / EnviroFoto, Antoine Girard, Charlotte Harvey,
Humberto Pinochet, François Rivard, Ginette Vandal, Journal Le Soleil, Jean-Marie-Villeneuve

Web site design: Oasis Communication-Marketing
Web hosting: DÉRY TÉLÉCOM