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Workshop Registration Form 2019

Workshop Registration Form 2019

Complete this form to register for a workshop.
Please complete a separate form for each workshop that you wish to attend.

First Name
Last Name
Address
City
State/Province
Zip/Postal
Country
Please enter your email address
Type Number including area code, without any spaces: 0712345678
Type all numbers without spaces: 0421345678

Medical Conditions

Do you suffer from anything we need to know about in the event of an emergency?

Workshops - Pay in Full

Please choose the workshop you wish to attend
$

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.
$

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, workshops@qldquilters.com, 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)

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