NYQUILTS! May 19-20, 2001

 REGISTRATION FORM -- Page One

NAME (PRINT): _______________________

STREET ___________________________

CITY _______________________________

STATE ___________ZIP _______________

PHONE DAY (______) ________________

NIGHT (______) ________________

E-MAIL ____________________________

EMERGENCY (______) ________________

NAME: ______________________________
 A. Registration Fee  $20.00

HOUSING:
   Single Room:  
$35 per night

Fri. May 18

________
 

Sat. May 19

________
 

 Double Room:

  
 $25 per night

 Fri. May 18

  ________
 

 Sat. May 19

  ________
B. Total Housing Fee Due:  ________

ROOMMATE (Be sure this person writes you in too)

__________________________________________

Special Needs: ______________________________

__________________________________________
 Note: All buildings on the Russell Sage College Campus are non-smoking

I'd like to Volunteer!
 

 Meals

 Breakfast

Lunch

Total
 Sat.

$5.00

$6.60

  
 Sun.

$5.00

$6.60

  

C. TOTAL MEALS

  

 NYQuilts! 2001 Pin  $5.00 per pin
 D.Total for Pin(s) Due _____________

 CLASSES:

$50 /whole day class

Saturday May 19

Sunday May 20
Class# Cost Enter Class# Cost Enter
 A101 $50   B201 $50  
Total for Sat.    Total for Sun  
E. Total Class Fees Due

________

I want to be class assistant for my

SAT ______ or SUN ______ class

 SUBTOTALS    
Registration Fee $20

A.

$20.00
 Housing

B.

 _______
 Meals

C.

  _______
NYQuilts! Pin

D.

  _______
Total Class Fees

E.

  _______
GRAND TOTAL    _______

REGISTRATION CHECKLIST:
  Checked your addition carefully
  Made sure you have noted class preferences in order
  Added the registration fee to the total
  Added the materials fee for classes A103, A104, B203
  Included your check or money order for payment in full. Please make check payable on US Bank to: NYQuilts!
  Included a long self-addressed stamped emvelope with 33 cents (48 cents for Canada) in postage for your confirmation materials
  Made a copy of this form for your records.

 Mail form and check to:

Marion Bevis

NYQuilts! Registrar

155 Nortonville Rd

Valley Falls, NY 12185

Questions? email: mbevismar@aol.com

Please put NYQuilts! in subject line
 

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