CCQG Fall Retreat Registration Form

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Calico Cutters Quilt Guild 13th Annual Retreat
October 12-15, 2017
Bird-in-Hand Family Inn

Name: _____________________________________

Phone: _____________________________________

Emergency #_______________    Name____________

Email: ________________________

I plan on staying __ nights. Check in ____ Check out ___

Attending Saturday dinner    Y / N

Single 1 Night $168.29 Single 2 Nights $322.58 Single 3 nights $476.87
Double 1 Night $91.15 Double 2 Nights$182.29 Double 3 Nights $273.45 each

Room Mate: _____________________

Dinner $23.00
Deposit $25.00

Space is limited to 30 people

Mail Check (payable to Calico Cutters Quilt Guild, memo Retreat) with this form to:                        Kathleen Winters
(Kathleen’s address may be found in the CCQG membership directory)