Quilt Camp 2010 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:___________________________________________________________
I would like to sign up for:
□ 2 nights: Fri, Oct 15 & Sat, Oct 16, $559/pp double
□ 3 nights: Thu, Oct 14, Fri, Oct 15, & Sat, Oct 16, $729/pp
double
□ 4 nights: Thu, Oct 14, Fri, Oct 15, & Sat, Oct 16 & Wed, Oct
13 OR Sun, Oct 17, $799/pp double
□ 5 nights: Wed, Oct 13 through Sun, Oct 17, $849/pp double
□ Rooming with:_____________________________ □ Please
assign a roommate
In case of emergency contact:____________________________
Phone:_______________________
Form of Payment: □ Check □
Cash □ MasterCard □ Visa
Account
#:______________________________________
Expiration
Date:____________________
Signature:________________________________________________________