Workshop Registration Form 2020 Workshop Registration Form 2020 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 0120: Modern Bias Applique Techniques with Kat Jones - $130 Workshop 0220: No Pins Curves and Improvised Curves with Jenny Haynes - $130 Workshop 0320: Fearless Free Motion Quilting with Pam Hill - $130 Workshop 0420: Double Wedding Ring with Pam Hill Workshop 0520: Mixed Technique Design Class with Neroli Henderson - $195 Workshop 0620: Tea & Ephemera with Judy Coates Perez - $130 Workshop 0720: Pele Mele Quilt with Veronique Diligent - $130 Workshop 0820: Creative Canvases Birds and Foliage Crazy Kookaburras with Sue Duffy - $130 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 0120: Modern Bias Applique Techniques with Kat Jones - $50 Workshop 0220: No Pins Curves and Improvised Curves with Jenny Haynes - $50 Workshop 0320: Fearless Free Motion Quilting with Pam Hill - $50 Workshop 0420: Double Wedding Ring with Pam Hill Workshop 0520: Mixed Technique Design Class with Neroli Henderson - $50 Workshop 0620: Tea & Ephemera with Judy Coates Perez - $50 Workshop 0720: Pele Mele Quilt with Veronique Diligent - $50 Workshop 0820: Creative Canvases Birds and Foliage Crazy Kookaburras with Sue Duffy - $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 * Submit If you are human, leave this field blank.