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THIRD ANNUAL QUILTED BEAN QUILT RETREAT

FEBRUARY 2-3-4-5, 2012

NEW LOCATION: MEDORA'S Eagle Ridge Lodge

 

NAME: __________________________________________________________________

 

ADDRESS:_____________________________________________________________

 

__________________________________________________________________________________

 

TELEPHONE: ______________________________ E-mail:__________________________________

THIS WILL CONFIRM MY RESERVATION FOR THE FEB 3 – 5TH QUILT RETREAT. Thursday, February 2nd Arrival Optional at additional fee.

FOR APPROXIMATE ARRIVAL THURSDAY/FRIDAY (CIRCLE ONE). (AFTERNOON, EVENING)

(Cell phone):______________________________

(just in case we need to send out the troops because of inclement weather).

Check out the accommodations on their website! www.eagleridgelodge.com

 

IT IS GOING TO BE A BEAUTIFUL SETTING!!

I HEREWITH ENCLOSE MY RESERVATION Deposit of $80 or pay in full ($160/$185) BY

CHECK, MONEY ORDER, VISA OR MASTERCARD. I UNDERSTAND THE DEPOSIT WILL BE APPLIED AS A

CREDIT TO OUR ACCOUNT ON THE LAST PORTION OF OUR STAY.

DUE TO LIMITED NUMBER OF ACCOMMODATIONS AVAILABLE & LIMITED ENROLLMENT TO THE RETREAT

ANY CANCELLATIONS PRIOR TO 30 DAYS IN ADVANCE OF THE RETREAT, DEPOSIT WILL BE APPLIED AS A CREDIT

TO THE FOLLOWING YEAR RETREAT; CANCELLATIONS WITHIN 2 WEEKS OF THE RETREAT, DEPOSIT of $80 WILL BE FORFIETED.

QUILTERS: THE PRICE IS $160 PER PERSON. (Friday-Sunday)

OPTIONAL THURSDAY ARRIVAL: $25. (additional)

CLASSES WILL BE INSTRUCTED BY: MARDI SCHOCK

CLASSES? YES!! Spicey Spiral Table Runner and Margo Bag

FREE DEMONSTRATIONS and prize drawings throughout the weekend, and of course, shopping!!

 

 

SIGNATURE: ________________________________________________________________

 

CREDIT CARD DEPOSITS – PLEASE SEE NEXT PAGE.

 

THE QUILTED BEAN

P. O. BOX T

VELVA, ND 58790 701-338-2850 www.thequiltedbean.com

 

 

 

 

Medora Quilt Retreat – The Quilted Bean

Reservation Confirmation Form

 

Credit Card Form

(We accept Visa or MasterCard or Discover) Circle option #1 or #2.

Option #1: The amount of your deposit $80 per quilter will be required to hold your space. Remainder due by December 31, 2011.

Option#2: Pay in full *$160/$185 *(circle your choice).  Accepting fully paid reservations up until January 25, 2012.

We will bill your credit card account number _________________________________________________________ with an expiration date of ______ (month) ______ (year).

Credit Card Cardholder (Name on card): ___________________________________

Cardholder Address: __________________________________________________________

Customer Code: __________(last 3 digits on back of card)

(If different from address on front of this form.) Your signature will confirm that you have read our cancellation policy (printed on the front of this form) and accept the terms of our cancellation policy.

Your signature will also confirm that you will be responsible for payment of agreed amount being charged to your credit card.

Cardholder Signature: _________________________________________

Date: _______________________