Jane's Fabric Patch
Main Avenue • Tillamook, OR 97141
503-842-9392

2010 Ocean Waves Quilt Camp Registration Form

Name Date
Address
City State Zip
Roommates Phone/Day Phone/Evening
 
Class Choices 1st Choice 2nd Choice
Thursday    
Friday    
Saturday    

The fee for the full camp (housing, meals, and class fees) is $395.00. If you sleep off campus, the fee will be $350.00.  A non-refundable deposit of $100.00 will be charged to your credit card or you may send a check. The balance of $295.00 will be charged to your credit card or you may send a check to us on or before September 10th, when supply lists will be mailed to you.  No refunds after October 1, 2010,  BUT you may send a friend in your place.

Per day fee for Camp is $150.00. This option is available only AFTER September 1st, if class space is available.

Camp Polo Shirts, are $30.00 and are available by preorder only. Size: M L XL XXL

Enclosed is my NON-REFUNDABLE DEPOSIT. I Will send the balance by September 10, 2010 (Reminders will not be sent.)

Full Camp Deposit $100  
Full Camp $395  
Full Camp/No Lodging $350  
Single Day $150 - Available only after September 1  
Total Enclosed  

Check enclosed.
Make check payable to Jane’s Fabric Patch
Please bill my: Visa MC Disc

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Exp Date
Signature
Three digit / Discover four digit code