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Form Page: Retreat_Registration

Quilting Divas Retreat - Orlando
Registration Form

Personal Information
(5 digits)
Workshop Selection - please check the box next to the appropriate retreat date
Dietary Restrictions - please list everything you cannot or do not wish to eat
Special Needs - please list special needs that we should be aware of
Fees:
Please select the appropriate items:
Fee
Item
Quantity
Day Student
Student Shared Room
Student Private Room*
Suitemates
If you know who your suitemates are, please enter their names below
Sewing Machine Rental
4 Day Sewing Machine Rental - $80 *
* Upon completion of registration, you will receive contact information for machine rental.
Payment Information
(Registration is not offical until payment is received):
Choose Payment Amount
Choose Payment Method:
If paying by check, make it payable to Holly Ridge Designs, Inc. and mail to:

Retreat
c/o Nancy Prince
4000 Rouse Rd
Orlando, FL 32817
reset