OREGON COAST 2020

Please complete the form below to request a place on the Oregon workshop. Places will be offered on a first come / first served basis. I am working with a US company to fulfill this workshop so you will receive communications from Lori Allen.

Name

First Name

Last Name

Which dates would you prefer?

September 10-14, depart on Sept 15, 2020

September 16-20, depart on Sept 21, 2020

I'm flexible

Your address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone number

Nationality

Date of birth

YYYY