Quilter's Retreat
Registration Form |
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Contact Information... |
| Name |
_________________________________________________________ |
| Address |
_________________________________________________________ |
| City |
_________________________________________________________ |
| State |
_____________________ |
Zip |
___________________________ |
| Phone |
_______________ Email
___________________________________ |
Include the names of up to 3 friends who
would like to sit together (optional) |
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1. ____________________________ 2.
____________________________ |
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3. ____________________________ |
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Suggestions of
demonstrations you'd like to see during retreat
(optional) |
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________________________________________________________________ |
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________________________________________________________________ |
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| $______ |
Quilter's
Weekend Retreat – October 7 - 9, 2011
$120.00 / person ($109.00
/ person Member) |
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Total Due/Enclosed...
$ _________
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Upon receipt of
your registration and payment, a confirmation number and supply list will
be mailed to you. If you need more registration forms, please print
additional copies. |
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Method of Payment... |
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- Checks should be made payable to Sauder Village
- Credit Card
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Mastercard |
Card #
___________________________ |
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Visa |
Expiration Date
_____________________ |
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American Express |
Vin # on back of card
________________ |
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*
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Discover |
(last 3
digits on the signature line on back of card) |
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Signature________________________________________ Date ___________ |
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Return registration and
payment to...
Sauder Village
Quilt Weekend Retreat
P.O. Box 235, Archbold, OH 43502 |
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