This page contains a Flash digital edition of a book.
registration formwin/spr 2012 side 2 Class Title A. Total Tuition Due:


B. Optional Class Trip Tickets: (Refer to class descriptions for ticket discounts. One ticket per student. Students under 18 may purchase an extra ticket for a parent at this price except for show choir trips.)


Performance ___________________________________________ Performance ___________________________________________ C. 10% Member Discount (Contributor level and above): D. Add or renew a Flynn Membership at the following level:


❏ Contributor ($100-$149) ❏ Sustainer ($250-$499) E. I’d like to donate to the FlynnArts scholarship fund


to help make arts experiences accessible to everyone. F. (A plus B, minus C, plus D, plus E) = Payment: ❏Check payable to FLYNN CENTER ❏VISA Total Enclosed: $ ____________ ❏Mastercard ❏American Express ❏Discover


Card # _________________________________ Expiration Date __________ Security Code __________ Name on Card ___________________________________________________________________ Signature ______________________________________________________________________


❏ I am applying for a partial scholarship in the amount of $_______ and have enclosed my 25% deposit and a description of my financial situation. Note: Apply by January 1 for best chances. After that date fewer funds will be available.


❏ I’d like a payment plan and have enclosed my 25% deposit. Please expect my checks or charge my credit card the remaining 25% in installments on Feb. 1, Mar. 1, and Apr. 1. I understand that submitting this form makes me responsible for the full tuition, regardless of my class attendance record or withdrawal.


Sign________________________________________________________________________


(Members can register early, and members at levels $100+ get 10% off all classes.) ❏ Friend ($45-$99)


❏ Supporter ($150-$249) +$ ____________


+$ ____________ +$ ____________ -$ ____________ +$ ____________


Please fill out both sides completely


Day/Time


Tuition


$ ____________


See financial assistance section of p. 19 for more info on scholarships and payment plans  18


Want to guarantee your spot?


Become a member today!


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20