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     N.E.O.R.Q.C. Inc. 2009 My Quilted Garden Getaway Weekend   

REGISTRATION FORM

Name __________________________________________Rcv’d                            Reg# .

Street__________________________________________________________________

City ______________________________ Zip ____________ Phone (____)_____________

Guild __________________________________ Email address______________________

Costs are computed for 2 or 3 persons sharing lodging. Please check your preference, taxes included.

_____2 person occupancy $365.00 per person     _____3 person occupancy $325.00 per person

NOTE: Please mail all roommate registration forms in the same envelope.

The following person(s) and I have mutually agreed to be roommates:

1. ____________________________________2. _______________________________________

Please do your best to match me up with __________ roommates.

Class Choices: List your choice of classes, numbered in order of preference. If none of your choices are available, your registration will be mailed back to you.

1. Karen Auer ____            9. Shelly Crum ____          17. Sue Spargo ____

2. Jean Bailey ____           10. Beth French ____          18. Kerry Steinberg ____

3. Mary Bernower ____    11. KC Howell ____           19. Nelly Vileikis ____

4. Julie Bragg ____            12. Barbara Machol ____    20. Mary Walters ____

5. Sister Lois Buck ____   13. Ginger Mangie ____       21. Sue Wilson/Betty Slezak ____

6. Cindy Casciato ____     14. Chris Marty ____           22. Open Studio ____

7. Sharon Chase ____       15. Kim Montagnese ____

8. Karn Conley ____         16. Gaye Smith ____

 
Mail form, with $50 deposit, no earlier than September 1, to:           
NEORQC Inc. Getaway Weekend
c/o Gail Radke
2929 Creekside Dr.
Westlake, OH 44145 
Check Number Date Recieved Amount
     
     
     
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Copyright NEORQC 2008. All Rights Reserved.