Registration form
Applique by the Bay IX
with Elly Sienkiewicz, Jane Townswick and Nancy Kerns
| Print, Complete and Mail to: | Mare’s
Bears Quilt Shop 528 E. Savannah Road Lewes, DE 19958 |
Name__________________________________________________________Date______________________
Address__________________________________________________________________________________
City_____________________________________________State_____________________Zip_____________
Day time Phone( )_____________________________ Evening Phone ( )_______________________
Fax number( )_________________________ Email address_____________________________________
Registration can be done by mail, fax or phone. Payment may be made by check, money order, Visa,
Master Card, Discover, or American Express. To reserve your place at Applique by the Bay IX send a
$100.00 deposit by August 1, 2008. The balance is due by October 1, 2008.
Credit Card # _____________________________________________________________
Expiration Date ________________________Vin code____________________________
(The vin code is the last three numbers on the BACK of your card. It is required to process your card.)
Signature__________________________________________________________
Cancellation Policy: Reservations must be cancelled in writing. All reservations cancelled prior to October 1, 2008
incur a $25.00 charge. Cancellations cannot be accepted after October 1, 2008 due to teacher and housing contracts.
If unable to attend, you may transfer your registration to another person. There is a $25.00 processing/transfer fee
payable to Mare's Bears Quilt Shop.
Classes: Day 1 (check one) Fees (check one)
Crown of Ruched Roses with Elly ______
or
Bleeding Hearts with Jane ______ Day 1 only ($155.00) _____
or
The Star Rose with Nancy ______
Day 2, 3 and 4 Only ($300.00) _____
Day 2, 3 and 4 (check one)
The Clipper Ship with Elly ______
or All 4 days ($440.00) _____
Cala Lilly with Jane ______
or
The Goose Girl with Nancy ______
Lodging is available at the newly remodeled Beacon Motel (the building in which we are located and easy
walking distance to classes.) Rates are four nights @$375.00 or $105.00 per night, per room.
(Rates are subject to change and will not be charged to your card until you check in.)
Check which nights and desired occupancy: 12/3_____ 12/4_____ 12/5 _____ 12/6 _____
Single______Double_______Roommate's name_______________________________________________
Keep a copy of this form for your records. Supply lists will be mailed upon receipt of your deposit.
Mail or fax (302-644-3868) completed application to: Mare's Bears Quilt Shop, 528 E. Savannah Rd, Lewes, DE 19958.
Questions? Call 302-644-0556 or email: maresbears@ce.net