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Mollycoddle Productions, Inc.

Membership and Corporate Sponsor

Registration Form

Name:__________________________________________________

Address:________________________________________________

Telephone:______________________________________________

Membership Fees: Student: $ 50.00

Adult: $ 75.00

Professional: $100.00

Seminar Fees: Student: $250.00

Adult: $300.00

Professional: $350.00

Donation or Membership Amount: _______________________

*Sponsors, upon receiving your check, you will be contacted by our staff and cordially invited to all of our industry screenings.

**Members, upon receiving your check, you will be contacted by our staff and forwarded a schedule of all upcoming classes.

WE ARE CURRENTLY LOOKING FOR A PERMANENT LOCATION.

DUE TO DEMAND, CLASS LOCATIONS MAY VARY.

Please mail completed form and a check to:

Mollycoddle Productions, Inc.

19713 Yorba Linda Blvd., Ste. 118

Yorba Linda, California 92886

Thank you for joining Mollycoddle Productions, Inc.

We appreciate and value your support!!!