2010 Camp Cedar Glen Registration Form

Mail to: Quilt in a Day,Attn: Sue Bouchard * 1955 Diamond Street * San Marcos, CA 92078
Telephone: 800-777-4852 x114
Fax: 760-591-4424

Name:_________________________________________
Address:_______________________________________
City:___________________________State:_______Zip___________
E Mail:___________________________________________________
Phone: (Home/Work)_______________________________________
Quilt in a Day Pattern of your choice:__________________________
Roommate choice:_________________________________________
Physical or Dietary Restrictions:______________________________
Visa, M/C or Discover:______________________________________
Exp. Date: ____/____

Total Price per Session: $385.00
Both Fall Sessions $700.00
Non refundable $100.00 deposit $______
Machine rental (as available per session $25.00) $______
Balance due (by Nov. 1st, 2009) $______
Total paid $______

Cancellations made after 11/1/10 will be refunded, less the deposit, only if the space is filled.
Additional information to follow, approximately four to six weeks prior to the event.