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Registration is by mail only and will be filled by earliest postmark. Confirmation in 2 3 weeks. (PLEASE PRINT)
Name__________________________________________________________________________________________
Address: _______________________________________________________________________________________
City____________________________________________________State________________Zip_________________
Telephone ( )________________________________________________________________________________
Email__________________________________________________________________________________________
Please indicate your choice of instructors for which you will accept enrollment on this registration form, later requests
will be put in order of postmark.
1stchoice________________________________________________________________________________________
2ndchoice_______________________________________________________________________________________
3rd choice_______________________________________________________________________________________
Meal options: Regular? __________Vegetarian? ___________
Deposit Policy: A $150 non-refundable deposit is due with the registration form and full payment must be made by
December 1, 2007. While classes may be available after that date, early registration should guarantee first choice
and avoid disappointment.
Acceptance by earliest postmark.
Cancellation Policy: All canceled reservations will have the following charges:
Now 120 days $150.00 90 61 days $350.00
120 91 days $200.00 60 0 days No Refunds
Due to teacher and other related contracts and guarantees, cancellations cannot be made after 60 days prior to event. You may transfer your reservation to another person if unable to attend. All returned checks are subject to a $25.00 fee. We encourage the purchase of Cancellation and Travel Insurance.
www.travelguard.com is one option.
Deposit Enclosed $____________________________________________________________________
Your Signature______________________________________________________________________
Required signature for enrollment agrees to hold Quilters Escape, its staff, employees, and volunteers or leased facilities free from liability against injury, loss or damage to you or any person accompanying you for any reason.
Please send deposit payable to "Quilters Escape" with your completed registration form to:
Quilters Escape, 3414 K Street, Eureka, CA 95503
Additional information, Dixie McBride (707) 442-0081
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