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If interested, mail
the form below with a $500 deposit check made payable to The
West Mill. Reservations are made on a first come, first
served basis.
Mailing address: The West Mill, 6608 Orland Street, Falls Church,
VA 22043
Name: (Legally on
passport)_______________________________________________________________
Roommate request
(not required only if you have a preference)?____________________________________
Email: (main)__________________________________________________________________________
Telephone: (day)____________________(evening)
____________________(other)___________________
Billing Address:_________________________________________________________________________
City: ______________________________________________
State: ____________ Zip:______________
Final payment of
$2,000 is due April 1, 2008. Original $500 deposit is non-refundable.
Please sign that you understand and agree to the terms of The
West Mill Art Workshop trip.
Signature: ____________________________________________________________________________
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