Mt. Bachelor Quilt Guild

The Riverhouse Retreat 2010

April 15, 16, 17, & 18

Registration form

Name:__________________________________________________________________

Phone:__________________E-Mail:__________________________

Mailing address:__________________________________________________________

City:_______________State:_________________Zip____________________________

Person you wish to room with:_______________________________

Any special requirements you may have:

1. Diet:__________________________________________

2. Other_______________________________________________

Cost of Retreat is $255 for 2 nights, which includes all meals, lodging, and door prizes.

A non-refundable deposit is required at the time of registration. Payment is non-refundable unless retreat is full or is canceled. Emergency circumstances will be evaluated by the guild board of directors on an individual basis.

If you cannot attend, you will be asked to find a replacement. We will maintain a waiting list.

Make checks payable to Mt. Bachelor Quilt Guild or MBQG

I understand that the deposit is non-refundable and is due at the time of registration. Payment in full is due by March 8^th.

^{Signature____________________________________________ Date_________________________________}

^{Please return to:}

^{Janelle Rebick}

^{944 S.E. Airpark Dr.}

^{Bend, OR 97702}

^541-390-7058