MURDERONE Registration

MurderOne for (month)___________   (title) ________________
Check one:  I am ______     I am not _____ a current member of KOD
Name: ______________________________________
Email address:___________________________
Payment enclosed:_____________

NOTE:
**CUT-OFF DATE FOR REGISTRATION IS
the 27th day of the month PRIOR to the start of COFFIN class,
i.e. beginning COFFIN workshop date, January 1, cut-off date for registration, December 27.
**


I understand that admission to the workshop depends on receipt of this form and payment fee before the cut-off date for the workshop chosen. If the payment fee is received AFTER the cut-off date, the payment fee will be
returned or applied to another workshop of my choosing.

PLEASE ALSO NOTE: NON-US RESIDENTS MUST PAY BY BANK MONEY ORDER ONLY. - CHECKS OR POSTAL ORDERS WILL BE RETURNED.

FOR MURDERONE WORKSHOPS - Make checks payable to MRSRWA and mail to:

NOTE: you will receive an INVITATION to join the group from yahoo!groups
and you MUST reply to it in order to take the course.

Midge Johnson
277 Scenic Drive
Horseheads, NY 14845
Midgeblue1@aol.com

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