Quilter's Weekend 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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_____________________________________________ |
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_____________________________________________ |
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_____________________________________________ |
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| $______ |
Quilter's
Weekend Retreat – Fri., October 3
&
Sat., October 4, 2008
$95.00 / person ($85.00
/ person Member) |
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Total Due/Enclosed...
$ _________
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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. |
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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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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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