For more information, contact The
Media Arts Center @ 803.734.8696, Mark Gamble @
803.734.8684,
Susan Leonard @
803.734.8681 Fax: 803-734-8526
Print this page,
fill out, and return with your payment.
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Name
of Registrant |
Social Security or FEIN of
Payor |
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Mailing
Address |
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City |
State |
Zip+4 |
County (SC residents only) |
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Daytime
Phone |
Fax |
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Email
Address |
Website
Address |
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I am an artist. My Primary Discipline is: |
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I want to receive Media Arts mailings. |
I heard about the
Southeastern Media Institute by: |
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May 30-June 2, 9am-5pm (4 day) | $390.00 | $425.00 |
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May 30-June 2, 9am-12pm (4 day) | $150.00 | $175.00 |
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May 30-June 2, 2pm-5pm (4 day) | $150.00 | $175.00 |
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May 30-31, 9am-5pm (2 day) | $180.00 | $210.00 |
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June 1-2, 9am-5pm (2 day) | $390.00 | $425.00 |
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Thursday May 30, 9am-5pm (1 day) | $90.00 | $125.00 |
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Thursday May 30, 9am-5pm (1 day) | $90.00 | $125.00 |
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Friday May 31, 9am-5pm (1 day) | $90.00 | $125.00 |
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Friday May 31, 9am-5pm (1 day) | $90.00 | $125.00 |
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Saturday June 1, 9am-5pm (1 day) | $180.00 | $210.00 |
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Saturday June 1, 9am-5pm (1 day) | $90.00 | $125.00 |
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Friday May 31, 1pm-5pm (1/2 day) | $50.00 | $75.00 |
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Saturday June 1, 9am-12pm (1/2 day) | $50.00 | $75.00 |
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Saturday June 1, 9am-12pm (1/2 day) | $50.00 | $75.00 |
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Saturday June 1, 9am-12pm (1/2 day) | $50.00 | $75.00 |
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Saturday June 1, 1pm-5pm (1/2 day) | $50.00 | $75.00 |
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Sunday June 2, 9am-12pm (1/2 day) | $50.00 | $75.00 |
You may take either the 10% multiple class |
–10% multiple class discount: |
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discount OR the Student discount, NOT BOTH |
–20% student discount: |
$ | ![]() |
Total: |
$ | ![]() |
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Make checks payable to
South Carolina Arts Commission. If your organization is paying by purchase
order or business check, please make sure the registrant's name is
referenced. Fee(s) may be charged to either MasterCard or Visa.
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MasterCard |
Visa |
Expiration |
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Card Number |
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Name on Card |
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Signature |
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To be eligible for a full refund, written requests must be received before 5:00pm May 23, 2002. All requests must include the Social Security Number or Federal Employer ID Number of the payor. You will receive a full refund if the class is cancelled by the South Carolina Arts Commission Media Arts Center. There are NO refunds once a class has started. |