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2008 Rug Hooking Retreat Registration Form
Mail one completed form per student to: Sauder
Village, Rug Retreat, P.O. Box 235, Archbold, Ohio 43502
or fax to 419.445.5251. Please enclose along with your payment a business size SASE
for your acceptance
and confirmation, or provide an email address for your confirmations
to be sent to.
Retreat Reservationist... Jan Nofziger 800.590.9755 or jnofziger@saudervillage.org
| Name: |
_________________________________________________________________ |
| Address: |
_________________________________________________________________ |
| City: |
______________________________ |
State: |
________ |
Zip: |
____________ |
| Phone: |
______________________________ |
| E-Mail: |
_________________________________________________________________ |
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Instructor
Preference:
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Who
is your first choice as instructor for the entire retreat?
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*
Dianne Kelly
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*
Carol Kassera
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* Sally
Kallin |
*
Anita White |
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Who
is your second choice as instructor for the entire retreat?
|
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*
Dianne Kelly |
*
Carol Kassera
|
|
|
* Sally
Kallin |
*
Anita White
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Who
is your third choice as instructor for the entire retreat?
|
|
|
*
Dianne Kelly |
*
Carol Kassera |
|
|
* Sally
Kallin |
*
Anita White |
Registration: |
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*
Retreat Instruction Fee
*
Wednesday Special Luncheon Buffet
*
Companion Ticket |
$250.00
$10.00
$50.00 |
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TOTAL Payment Enclosed:: |
$____________ |
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Method
of Payment:
* Check
(payable to Sauder
Village)
*MasterCard * Visa
* Discover
* Am. Express
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Credit Card Number: _________________________________
Expiration Date: ________ |
|
V-Code #
___________ (last
3 digits on signature line on back of card)
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Important Reminder!
Upon our receipt of this Retreat Registration form and payment,
you will be provided both a Booking ID # and a Retreat
Confirmation #. You can then provide these numbers to inquire about availability of a
campsite or room at the Sauder Heritage Inn from the block being
held for confirmed Rug Retreat participants, available on a
first come basis until July 14, 2008.
Cancellations prior to June 27,
2008 will receive a refund of fees paid minus a $35.00
processing fee. No refunds given after
June 27,
2008. If classes do not meet minimum number of students
by June 27,
2008, we may be forced to cancel the class and all
fees will be refunded.. |
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