Name  ____________________________________________________

      Address ___________________________________________________

      Phone ______________________            Email_____________________

      Playing level  ______________________________

I am bringing my own instrument (not required) _____________________

    Will take the morning session on Welsh/Appalachian Music    ____________

Fees:  by June 1 July 1 September 1  

              $80                    $90           $105

PAYMENT: check or money order made out to: Spanish Peaks Harp Retreat 

Copy form (or use PDF below),  fill out and make a copy for yourself, and send form with payment to:                  

Nancy Joroff, 

343 Hemlock Circle, 

Lincoln, MA. 01773

After June 30, send to: 

Nancy Joroff

PO Box 228, 

Gardner, CO 81040