Somers Mountain Museum

WORKSHOP SIGN-UP FORM (Printable from Browser)

Please fill in this form on-screen and then print from your browser and mail to the address at the bottom. Or print-out and then fill in by hand if you prefer.

NAME:

ADDRESS

CITY STATE ZIP

PHONE

EMAIL

please check desired workshop(s)

Beadworking May 14 $15(Members $10)/Deposit $5
Quillworking June 11 $20(Members $15)/Deposit $5
Shamanic Journeying May 21 $20(Members $15)/Deposit $5
Weed Walk May 16 $15(Members $10)/Deposit $5
Primitive Pottery May 23 & June 5 $50(Members $40)/Deposit $20
Intro. to Herbalism May 20 & June 3 $50(Members $40)/Deposit $20
Bowmaking July 17-18 & 24-25 $150(Members $135)/Deposit $50
Arrowmaking August 8 $25(Members $20)/Deposit $10

You may send in your deposit now to reserve your space and pay the balance on the day of the workshop or you may pay in full now:

Deposit Only       Full Payment

Are you interested in becoming a member of the Friend of the Somers Mountain Museum? Join Now and become eligible for discounts on the above workshops.

Friends Categories (one-year subscription)

Individual $15     Business $50     Student/Senior $10
Family $25           Sustaining $100

I am enclosing an additional $to help protect and develop the Somers Mountain Museum.

I am already a Member

TOTAL DEPOSIT OR PAYMENT ON WORKSHOPS: $
TOTAL DONATION TO Friends of... : $
TOTAL ENCLOSED: $

Please make checks payable to the Somers Mountain Museum and mail to:

Somers Mountain Museum            
P.O. Box 55           860-749-4129
Somers, CT 06071-0055           SomersMtn@aol.com