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 $335 for 3 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