Registration Form

Mosaic Intensive Workshop (5 Days)

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Please check the class you like to take:

	2012
	Feb 6-10, 2012
	Feb 13-17, 2012
	Feb 27-Mar 2, 2012
	Mar 19-23, 2012
	Mar 26-30, 2012
	Apr 2-6, 2012
	Apr 16-20, 2012
	May 7-11, 2012
	May 21-25, 2012
	May 28-Jun 1, 2012
	Jun 11-15, 2012
	Jun 18-22, 2012
	Jul 2-6, 2012
	Jul 9-13, 2012
	Jul 16-20, 2012
	Jul 30-Aug 3, 2012
	Aug 27-31, 2012
	Sep 3-7, 2012
	Sep 10-14, 2012
	Sep 24-28, 2012
	Oct 1-5, 2012
	Oct 15-19, 2012
	Oct 22-26, 2012
	Nov 5-9, 2012
	Nov 12-16, 2012
	Nov 19-23, 2012
	Nov 26-30, 2012
	Dec 10-14, 2012
	Dec 17-21, 2012

I'm not sure I can attend your class. Please hold a space for me only for 15 days.
I'm very interested in attending your class. Please reserve a space for me.

Further questions, requests or notes :

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please email your request of enrollment to: info @ mosaicschool.com
or via fax : (+39) 0544 67061

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