Johno's Art Studio             Registration Form 2001 Personal Information Name Address ZipCode Home Phone Work Phone Fax Email Address Questions Part 1 Have you ever taken classes at Johno's Art Studio? YES NO Class Title Class Code Day(s) of Class(es) Fee Teacher Total Payment type VISA MC AMEX DIS Account Number Exp.Date CASH (in person only)       CHECK/Money Order Signature Please initial on Form as well. I have read the transfer fee policy. Questions Part 2 If you are a new student how did you hear about Johno's Art Studio? Noticed signs/building A newspaper ad/article Flyer Recommendation from friend/relative Web site Other (specify) Picked up a schedule at Return Form to: Johno's Art Studio | 1705 Arlington Ave. Pittsburgh, PA 15210 | Phone/Fax: (412) 481-4208 Website: http://www.JohnosArt.com