Class Registration Form

M I S S I O N M I L L M U S E U M
The Textile Learning Center:
Class Registration Form



Before completing this form, please check our enrollment and refund policies.



Name:
Street:	City: ST: Zip:
Daytime phone:	Email address: *
Class Title:	Date of Class:
Class Title:	Date of Class:
Class Title:	Date of Class:
Member Fee: Non-Member Fee: Materials Fee:

Total Due: I am paying by
Visa/Mastercard: Expiration Date:




Visit our Membership webpage for information on becoming a member.






* If you would like to have your email address placed on our Textile Learning Center list, please check here. We promise not to clutter up your email box and we never share our lists with anyone!



Comments: Please let us know if you have any special needs. The Textile Learning Center is handicapped accessible.
Please print this form and fax to 503-588-9902, or mail to Class Registration, Mission Mill Museum 1313 Mill St SE Salem, OR 97301

Mission Mill Museum Association is a not-for-profit tax-exempt corporation established to educate and to interpret and preserve the history of the Willamette Valley and Oregon's textile industry.

We are located at 1313 Mill St SE Salem, OR 97301. Contact us at (503) 585-7012 or missionm@teleport.com