Intermedia Arts …

                                               Intermedia Arts
                        Fall 2007 Course Registration
                                    Create. Engage. Inspire. Change

Name (first, last): ________________________________________________________________________
Street Address: _________________________________________________________________________
City, State, Zip: _________________________________________________________________________
Daytime Tel: ______________________________ Evening Tel: ___________________________________
Email: _________________________________________________________________________________


Membership Benefits
Intermedia Arts members receive a $10 member discount on tuition for each course!
     I am a member of Intermedia Arts
     YES! I would like to become a member of Intermedia Arts!
       Membership Type: ____ $40 Individual ____$ 60 household ____ $25 student/senior

                                                            AMOUNT DUE: MEMBERSHIP $ _____________

Course Information
Intermedia Arts is committed to keeping our programs accessible to people of all income levels.
Indicate your annual household income below, and then consult our sliding-fee scale to
determine your tuition costs.
                  Up to $25,000
                  $25,000 to $35,000
                  $35,000 to $45,000
                  $45,000 to $55,000
                  Over $55,000

Course Title: __________________________________________________________________________
Course Dates: ______________________________________________Time: _____________________
Course Type: _______________________________________________Tuition Amt: $ _____________


Course Title: __________________________________________________________________________
Course Dates: ______________________________________________Time: _____________________
Course Type: _______________________________________________Tuition Amt: $ _____________


Course Title: __________________________________________________________________________
Course Dates: ______________________________________________Time: _____________________
Course Type: _______________________________________________Tuition Amt: $ _____________

                                                                      AMOUNT DUE: TUITION $ _____________
                                                                       TOTAL AMOUNT DUE: $_____________

Payment Information
I am paying by: _____Check (enclosed)   _____VISA         _____MasterCard
Card #_______________________________________________________Expiration Date: ____________
Name as it appears on card: ______________________________________________________________
Cardholder Signature____________________________________________________________________
                                                       Tuition
Intermedia Arts is committed to keeping our programs accessible to people of all income levels.
Consult the sliding-fee scale below to determine your tuition costs.

Workshops
Household Income                                    1-Day            2-Day
Up to $25,000                                       $16.00           $32.00
$25,000 to $35,000                                  $20.00           $40.00
$35,000 to $45,000                                  $24.00           $48.00
$45,000 to $55,000                                  $28.00           $56.00
Over $55,000                                        $32.00           $64.00

Intensives
Household Income                                       A                B               C
Up to $25,000                                       $32.00           $48.00          $64.00
$25,000 to $35,000                                  $40.00           $60.00          $80.00
$35,000 to $45,000                                  $48.00           $72.00          $96.00
$45,000 to $55,000                                  $56.00           $84.00          $112.00
Over $55,000                                        $64.00           $96.00          $128.00

Classes
Household Income                                   3-week            4-week          5 week              6-week    8-week
Up to $25,000                                       $30.00           $40.00          $50.00              $60.00    $80.00
$25,000 to $35,000                                  $42.00           $56.00          $70.00              $84.00    $112.00
$35,000 to $45,000                                  $60.00           $80.00          $100.00             $120.00   $160.00
$45,000 to $55,000                                  $78.00          $104.00          $130.00             $156.00   $208.00
Over $55,000                                        $90.00          $120.00          $150.00             $180.00   $240.00




                                                   Registration
Space is limited--sign up for your classes today! Registration is easy:
    Register online at www.Intermediaarts.org

          Register over the phone! Call (612) 871-4444

          Fax your registration to: (612) 871-6927

          Mail or hand-deliver your registration to:
                       Intermedia Arts
                       Attn: Registration
                       2822 Lyndale Ave. S.
                       Minneapolis, MN 55408


Questions? Call or email (612) 871-4444 or info@intermediaarts.org




                     Intermedia Arts is a catalyst that builds understanding among people through art.
                                                   www.intermediaarts.org