Booking JustJudine

BOOKING INFORMATION

Please fill out this form and we will get back to you as soon as possible.

Payment is due two weeks before Workshop begins.
We accept payment by business check or PayPal;
Make checks payable to Judine Somerville/ JustJudine

Mail checks to JUSTJUDINE.CO
PO Box 161
Mount Pocono, PA 18344

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Name *

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Last

Company or School *

Contact Email *

Contact Phone Number *

Address *

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Name of Workshop *

Dates of Workshop please enter your 1st 2nd & 3rd choices *

How Many Students? *

Time (Classes can begin as early as 10 am) *

Other Notes *

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