Film Production Workshop with Tom Kane

Registration Form

Please fill out this form to complete registration.

If you are paying by check, you will need to print out these details, which will be sent to you in an email. Once you have printed this form, please mail it along with payment to:
Kane Productions Inc.
76 Governor St.
Ridgefield, CT 06877

Name:
Workshop Dates:
Payment Type:

    

Mailing Address:

City:

State:
Zip Code:
Day Phone:
Eve Phone:
Fax:
*E-mail:
Occupation:
Company Name:
How did you hear about the Workshop?

Comments:

*E-mail address required for registration confirmation