My Provence Art Experience workshop
To confirm a reservation it is necessary that this form is filled in and signed, then emailed / mailed to us.
mathieu.brousses@gmail.com / mathieu@provence-art-experience.com
Artist instructor_________________________________________________________________________________________________________________
Date of the workshop:____________________________________________________________________________________________________________
Participants information (both if spouse attending)
Contact name(s)________________________________________________________________________________________________________________
Adress________________________________________________________________________________________________________________________
City________________________________________State_______________________________________Zip Code________________________________
Country____________________________________________________________________________________________________________________________
Telephone day_______________________________________________ Telephone evening____________________________________________________
Email_____________________________________________________________________________________________________________________
Food allergies or anything worth mentioning__________________________________________________________________________________
Emergency contact phone number_________________________________________________________________________________________________________
Signature (required)_____________________________________________________________________________________________________________________
The fee is USD 3,950 per student for a double occupancy room (USD 3,600 for non-painter spouse or friend sharing the room)
and USD 4,400 per student for a single occupancy room.
I want a single occupancy room
I want a double occupancy room
A deposit of US$ 950 per person is due with this application form to insure reservation
It includes (see itinerary): all meals, lodging in the guest house, plein air demos, must-see tickets, everyday local transportation and airport transfers. Final payment is due 3 months before the workshop.
Questions? mathieu.brousses@gmail.com / contact@provence-art-experience.com
Payments and deposits (credit card and/or PayPal account):
on our website : http://www.provence-art-experience.com/deposit-and-balance-due-payments