Quilt Camp 2009 Sign Up Form

Please complete the registration below and mail it with $100 nonrefundable deposit to:

Heartbeat Quilts, 765 Main Street, Hyannis, MA 02601
(800) 393-8050 toll free   Fax: (508) 790-2711
www.heartbeatquilts.com    helen@heartbeatquilts.com


Name:____________________________________________________________ Street:____________________________________________________________ City:___________________________________________ State:_____________ Zip:____________________
Phone: (home)______________________ (work)_________________________ Email:___________________________________________________________

□ Yes, I would like to take advantage of the optional Thurs night/Fri
(includes Thurs night hotel accommodation, and sewing with Helen on Friday 9-4)
□ Rooming with:_____________________________ □ Please assign a roommate

In case of emergency contact:____________________________ Phone:_______________________
Form of Payment: □ Check    □ Cash    □ MasterCard    □ Visa
Account #:______________________________________
Expiration Date:____________________ Signature:________________________________________________________