Quilter's Retreat
Registration Form
|
|
|
|
|
|
Contact Information... |
| Name... |
_________________________________________________________ |
| Address... |
_________________________________________________________ |
| City... |
_________________________________________________________ |
| State... |
_____________________ |
Zip... |
___________________________ |
| Phone... |
_________________________________________________________ |
| Email... |
________________________________________________________ |
Include the names of up to 3 friends who
would like to sit together (optional) |
|
_____________________________________________ |
| |
|
_____________________________________________ |
| |
|
_____________________________________________ |
| |
| $______ |
Quilter's
Weekend Retreat – September 18 - 20, 2009
$110.00 / person ($99.00
/ person Member) |
| |
|
| |
|
|
Total Due/Enclosed...
$ _________
|
|
Upon receipt of
your registration and payment, a confirmation and supply list will
be mailed to you. If you need more registration forms, please print
additional copies. |
| |
|
|
|
Method of Payment... |
|
|
- Checks should be made payable to Sauder Village
- Credit Card
|
|
*
|
Mastercard |
Card #
___________________________ |
|
*
|
Visa |
Expiration Date
_____________________ |
|
*
|
American Express |
Vin # on back of card
________________ |
|
*
|
Discover |
(last 3
digits on the signature line on back of card) |
|
|
|
|
Signature_________________________________________ Date ___________ |
|
Return registration and
payment to...
Sauder Village
Quilt Weekend Retreat
P.O. Box 235, Archbold, OH 43502 |
|
|
|
|
