Quiltport USA

Registration Form

January 11-14, 2018

Please Print



City, State, Zip_______________________________________________

Home phone:______________________ Cell phone: ___________________

E-mail address_________________________________________________

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:

Quiltport USA
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.

_________________________ _________________________ ______________________