January 11-14, 2018
City, State, Zip_______________________________________________
Home phone:______________________ Cell phone: ___________________
Name as you would like it to appear on your name tag___________________________
(You will receive confirmation via e-mail)
Registration fee, lodging, breakfast and lunch included:
Single Room $575 ___ Extra night $118 ____ includes breakfast. Date:_____________
Double Room $390per person____ Extra night $134___includes breakfast ($67pp) Date:_______
Roommate:___________________________Listing roommate does not insure registration. Each quilter must send in her registration form.
Mystery Quilt $15______________(fabric needs and cutting instructions to be set December 15, 2017)
Please make check payable to: Quiltport USA Registration will not be processed if not paid in full.
A $25.00 charge will apply to all checks returned by the bank.
Registrations are processed on a first come first served basis according to the post mark date of your envelope. Please mail registration form and check along with a SASE to:
46 Merriman Cove Rd.
Harpswell, ME 04079
I have read and agree with all the rules and regulations set forth in the Registration Information page.
Signature : __________________________________ Date: ____________
Registrations must be signed or will be returned.
Seating: Please list below the person or persons you would like to be seated with this weekend. A seating chart will be available at registration.
_________________________ _________________________ ______________________