Workshop Registration Form 2021 Workshop Registration Form 2021 Complete this form to register for a workshop. Please complete a separate form for each workshop that you wish to attend. 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Single Line Text * Emergency Contact * Phone Number * Workshops - Pay in Full Please choose the workshop you wish to attend Workshop Options * Workshop 0121: All about Colour with Lyn Kenny - $195 Workshop 0221: Rowsy Roosters with Ioani Prior - $130 Workshop 0321: The Garden with Michelle Mischkulnig - $130 Workshop 0421: Pele Mele Quilt with Veronique Diligent- $195 Workshop 0521: Crazy Quilting with Jennifer Clouston - $130 Workshop 0621: Sense of Place with Sue Dennis - $130 Workshop 0721: Mixed technique design master class with Nerolie Henderson - $195 I am paying a deposit Payment Amount - Full Payment $ Workshops - $50 Deposit Only Please choose the workshop you wish to attend. You are required to arrange the remainder of your payment with the Workshop Coordinator one month prior to the workshop. Workshop Options * Workshop 0121: All about Colour with Lyn Kenny - $50 Workshop 0221: Rowsy Roosters with Ioani Prior - $50 Workshop 0321: The Garden with Michelle Mischkulnig - $50 Workshop 0421: Pele Mele Quilt with Veronique Diligent- $50 Workshop 0521: Crazy Quilting with Jennifer Clouston - $50 Workshop 0621: Sense of Place with Sue Dennis - $50 Workshop 0721: Mixed technique design master class with Nerolie Henderson - $50 I am paying in full Payment Amount - Deposit Only $ Notes Deposit of $50 is required to confirm your place. Full payment is required one month prior to the commencement of the workshop. Workshops may be cancelled if there are insufficient numbers to fill a class, or due to illness or incapacity of the tutor. Full refunds will be given if any workshops need to be cancelled. If you are unable to attend a workshop, please let the Workshop Convenor know as soon as possible. Please contact Olive Claydon, our Workshop Convenor on 0408 988 946 or by email, [email protected], if you have any questions. Payment Method You can make payment by Direct Deposit to Queensland Quilters OR by Credit Card Direct Debit Name of Account: Queensland Quilters Inc BSB: 034-002 Account Number: 768617 Please include your last name and membership number as the payment reference. Credit Card Please contact Verna Hunt with your credit card details. Phone: 32888925 Mobile: 0409 062 485(Click to add description) Section Signature * Clear Date * Rich Text If you are human, leave this field blank. Submit