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2009 Rug Hooking Retreat Registration Form
Complete
one form per student and mail to: Sauder Village, Rug Retreat, P.O.
Box 235, Archbold, Ohio 43502
or fax to 419.445.5251.
A confirmation will be
sent to you via email. If you prefer your confirmation be mailed to you,
please enclose a business size SASE when you mail in this form.
Questions? Contact
Retreat Reservationist, Jan Nofziger 800.590.9755 ext. 3061 or jnofziger@saudervillage.org
| Name: |
_________________________________________________________________ |
| Address: |
_________________________________________________________________ |
| City: |
______________________________ |
State: |
________ |
Zip: |
____________ |
| Phone: |
______________________________ |
| E-Mail: |
_________________________________________________________________ |
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Instructor
Preference:
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Who
is your first choice as instructor for the entire retreat?
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* Ingrid
Hieronimus
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*
Diane Phillips
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* Heather
Ritchie |
*
Jule Marie Smith |
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Who
is your second choice as instructor for the entire retreat?
|
|
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* Ingrid
Hieronimus
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*
Diane Phillips
|
|
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* Heather
Ritchie |
*
Jule Marie Smith |
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Who
is your third choice as instructor for the entire retreat?
|
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* Ingrid
Hieronimus
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*
Diane Phillips |
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*
Heather Ritchie |
*
Jule Marie Smith |
Registration: |
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*
Retreat Instruction Fee/Heather Ritchie
*
Retreat Instruction Fee/Other teachers
*
Wednesday Luncheon Buffet
*
Box Lunch
__ Tuesday
(select: __
Chicken Croissant
__ Ham Croissant
__ Spinach Salad or
__ Chef Salad)
__ Thursday
(select: __
Chicken Croissant
__ Ham Croissant
__ Spinach Salad or
__ Chef Salad)
__ Friday
(select: __
Chicken Croissant
__ Ham Croissant
__ Spinach Salad or
__ Chef Salad)
*
Companion Ticket
Companion's Name: ____________________
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$300.00
$250.00
$10.00
$8.50
$8.50
$8.50
$50.00
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TOTAL Payment Enclosed:: |
$____________ |
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Method
of Payment:
* Check
(payable to Sauder
Village)
*MasterCard * Visa
* Discover
* Am. Express
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Credit Card Number: _________________________________
Expiration Date: ________ |
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V-Code #
___________ (last
3 digits on signature line on back of card)
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Important Reminder!
Upon
our receipt of this Retreat Registration form and payment, you
will be provided both a Booking ID # and a Retreat
Confirmation #. You can then provide these numbers to
inquire about availability of a campsite or room at the Sauder
Heritage Inn from the block being held for confirmed Rug Retreat
participants, available on a first come basis until July 13,
2009.
Cancellations prior to June 24,
2009 will receive a refund of fees paid minus a $75.00
processing fee. No refunds given after
June 24,
2009. If classes do not meet minimum number of students
by June 24,
2009, we may be forced to cancel the class and all
fees will be refunded.. |
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