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.
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 3700 € per student for a double occupancy room
and 4300€ per student for a single occupancy room.
A deposit of 1200€ per person is due with this application form to secure your spot.
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
Payments and deposits (credit card and/or PayPal account):
on our website : http://www.provence-art-experience.com/deposit-and-balance-due-payments