Art of Classic Quiltmaking with Harriet Hargrave - 
August 6 - 10, 2008

REGISTRATION FORM


Name:  _______________________________________________________

Address: ______________________________________________________

City: _____________________    State: ________    Zip _______________

Phone: (Daytime)  _____________________  (Evening)  _______________

Email:  __________________________

Emergency Contact:  ________________________ Phone: _____________

Sign me up with a roommate:     ______YES         ________NO 

(There is an additional charge for a single room)

I want to room with : ____________________________________________

I am coming with a group of 4 or more:   _____YES    _____NO

I am planning to bring my family:  ______YES   ______NO

(If yes, Carrie will contact you regarding family member costs)

 

I have enclosed _____$300.00 deposit  or  _______$775.00 complete fee

 

 

MAKE CHECKS PAYABLE to:

BLACK SWAN QUILTING CONFERENCES AND RETREATS

 

 

Need a sewing machine?  _____YES  _____NO
 

(We have limited availability on top working older model Bernina sewing machines, so we limit this option to first come, first serve.  We do highly recommend that you bring your own machine as you are more familiar with it and this can increase your learning curve. We do have options for getting your machine to Colorado if you are flying, Carrie can give you all the information).

 

       

    Print and Mail this form with your check for deposit or complete fees to:

 

Black Swan Quilting Retreats
7430 W. 48th Ave.
Wheat Ridge, CO 80033
303-423-8231
email: blackswanquilting@earthlink.net