Registration Form - Winter / Holiday 2008 Classes
Holiday Lantern Tours
 Please copy a form for each person registering  -  Please fill form out completely
  

 

Name: _____________________________________________________________________
Street: __________________________ City: __________________________________
State: __________________________ Zip: ___________ Phone: _____________
Email:_____________________________________________________________________________
Parent/Guardian Name (for children under 16): ____________________________________________
How would you like to receive your confirmation  [  ] via email   [  ] via regular mail
 
Class Name/ Session, Date or Time (if choice) Amount Due
   
   
   
   
   
   
   
   
   
   
  [  ] Yes, I would like to reserve a sewing machine for a Quilting Class
 
 

Total Due  

  
[  ] Check (Payable to Sauder Village)    [  ] MasterCard    [  ] Visa  [  ] Discover  [  ] Am Express
Card #: ______________________________ Expiration Date: ________________
V-code # ____________________________ (last 3 digits on signature line on back of card)
Signature: ___________________________________________________________________

Mail with payment to: Classes, Sauder Village, PO Box 235, Archbold, Ohio 43502
If paying by credit card, registration can be FAXED to 419.445.5251