D-65 photography web workshop Miami May 31th,2009 sign-up,

REGISTRATION D-65's Miami Web Workshop May 31, 2009 Please fill out the following registration form. A $299.00 fee is required to hold your space in the program. This can be paid via PayPal or by check once your registration is submitted. You will receive an email with further information upon registration.
Name (required):
Email address (required):
Address:
Address 2:
City:
State:
Zip:
Country:
Telephone with area code:
Your Profession:
How Did you Hear About this workshop:
Discount Code must be included for discount:
Additional Information: