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Registration Form
16th Annual Rug Hooking Seminar
May 16–19, 2007
REGISTRATION IS LIMITED.
PLEASE COMPLETE AND RETURN BY APRIL 30TH.
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| Circle days you plan to attend 2007 Winedale Rug Hooking Seminar |
| Wed |
Thurs |
Fri |
Sat |
| Registration and Teaching Fee (beginners and past participants) |
$35 if lodging at Winedale
$55 Registration if NOT lodging @ Winedale |
$
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| Accommodations at Winedale (dorm style) |
| $30 Per night _____ Circle nights for lodging: |
Wed |
Thurs |
Fri |
$
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| Meals at Winedale |
| circle breakfasts @ |
$5 each |
T F S |
= $________ |
| circle lunches @ |
$7 each |
T F S |
= $________ |
| circle dinners @ |
$9 each |
W T F |
= $________ |
| Total due for meals |
$
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| |
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| TOTAL DUE for 2007 Rug-Hooking Seminar |
$
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| ___ Enclosed is my check payable to UT |
| ___ Please charge my VISA or MC |
| Credit Card # ______________________________ Exp date ___________ |
| 3 digit security code ____ ____ ____ (3 numbers on back) |
| Former Attendee? ___ yes ___ no |
| Beginner? ___ yes ___ no |
| Dyeing Class? ___ yes ___no |
NAME
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ADDRESS
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CITY, STATE, ZIP
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PHONE
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E-MAIL
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EMERGENCY CONTACT
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Mail to: Winedale, The University of Texas Center for American History, P.O. Box 11, Round Top, TX, 78954
Or scan & e-mail to esstewart@mail.utexas.edu
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