Fall Quilt Camp 2012 Registration Form Name_______________________________________________________ Address_____________________________________________________ City___________________________State_______Zip_______________ Phone___________________________(work)_______________________ e-mail_______________________________________________________ Method of Payment Check (payable to Threads Galore) VISA/MC Number_________________________________________ Exp. Date________V-Number_______Signature__________________
Check this box to acknowledge registration policy. (see below)
Workshop Dates
Double
Single
Commuter
Oct 11 ~ 14 w/Brenda Hall
$675.00
$750.00
$525.00
Oct 18 ~ 21 with a Twist
$490.00
$565.00
$340.00
I am traveling with_____________________________________________
Workshop Project for October 11 ~ 14 with Brenda Hall Please write chosen pattern here:____________________________________. Price of chosen pattern: $___________ We will invoice pattern price minus your 10% Quilt Camp discount(& shipping if applicable) and include with your final statement. Please fill out form and mail to: Threads Galore Quilt Shop * PO Box 219 * Rangeley Maine * 04970 207 864-5752
Quilt Camp Registration Policy • A $150.00 deposit is required to reserve your space. • Confirmation will be sent by email (preferred) or regular mail. • Deposit (minus a 25% processing fee) will be refunded if cancellation is before August 1st. • NO refunds for ANY reason after August 1st. If an emergency occurs, please try to find your own replacement. If that’s not possible, you may check with us to see if we have a waiting list. In the event that we are able to fill your space from our waiting list, your refund (minus a $50 processing fee) will be returned to you at the conclusion of our Quilt Camp. • Balance is due by October 1st. • The supply list will be mailed to you. • Unless otherwise noted, weekends are open to ages 18 and above.
Threads Galore Quilt Shop * PO Box 219 * Rangeley Maine * 04970