Workshop Registration Form Workshop Registration Form 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 0123: Sashiko/Boro with Jane MacDonald - $170 Workshop 0223: Applique with Michelle Yeo - $170 Workshop 0323: Painting Machine Quilting with Helen Godden - $170 Workshop 0423: Kawanda Slow Stitching Friday with Lorena Uriarte - $85 Workshop 0423: Opal Essence Saturday with Lorena Uriarte - $85 Workshop 0523: Spiky Stash / Piecing with Michelle Marvig - $225 I am paying 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 0123: Sashiko/Boro with Jane MacDonald - $50 Workshop 0223: Applique with Michelle Yeo - $50 Workshop 0323: Painting Machine Quilting with Helen Godden - $50 Workshop 0423: Kawanda Slow Stitching Friday with Lorena Uriarte - $50 Workshop 0423: Opal Essence Saturday with Lorena Uriarte - $50 Workshop 0523: Spiky Stash / Piecing with Michelle Marvig - $50 I am paying in Full Payment Amount - Deposit $ 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 Convenors know as soon as possible. Please contact Merody Buglar or Rebeccca Staunton-Coffey, our Workshop Convenors 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, membership number and Workshop Reference Number as the payment reference. Credit Card Please contact Verna Hunt with your credit card details. Mobile: 0409 062 485 Section Signature * Clear Date * If you are human, leave this field blank. Submit