Czech & Slovak Sokol Minnesota Education Classes Registration Form

Name: _________________________________________________________________

Address: _______________________________________________________________

City,State/Province: ____________________________________  Zip: ________-_______

Email Address: __________________________________________________________

Home Phone: (_______)_______-__________

Work Phone: (_______)_______-__________

Sokol Member ____   Non-member ____

Class Name		Fee
1.
2.
3.
	Total	$

Please do not include other fees in the same check. Please do not send cash.
Send your check payable to Sokol Minnesota, and mail along with this form to:

Louise Wessinger
3704 Denmark Ave
Eagan, MN 55123