2013 WQI QUILTERS RETREAT/REUNION
April 4-7, 2013
City, State and Zip Code______________________________________
Emergency Contact Name____________________________________
____ $466 for Three Nights with Meals - Single Occupancy
____ $281 for Three Nights with Meals - Double Occupancy
____ $383 for Two Nights with Meals - Single Occupancy
____ $240 for Two Nights with Meals - Double Occupancy
Please list any food
A non-refundable deposit of $100.00 must accompany your registration. Balance of fees must be paid no later than January 31, 2013.
Mail your payment (checks made payable to Kathy Hicks) and this form to:
N4625 Old Forest Rd.
Cambridge, WI 53523-9063
Confirmation will be sent via e-mail. If you do not have an e-mail address, please send a self-addressed stamped envelope.