REGISTRATION FORM

Print and complete a copy of this form,
and send it along with your deposit(s) to:

Marla Kazell
13333 SW 72nd Avenue, #10-E
Tigard OR 97223

Please make checks payable to: Marla Kazell

Please reserve space for me for the following workshop(s):

"It's All in the Details..."
Skirts and Pants Workshop
February 2-6, 2012

$100 non-refundable deposit OR
$750 full payment

$

$85 optional shopping day (February 1, 2012)

$

Spring Sewing Camp
March 15-19, 2012

$100 non-refundable deposit OR
$750 full payment

$

$85 optional shopping day (March 14, 2012)

$

Fabric Collage Jackets Workshop
June 24-28, 2012

$100 non-refundable deposit OR
$750 full payment

$

Summer Sewing Camp
July 26-30, 2012

$100 non-refundable deposit OR
$750 full payment

$

$85 optional shopping day (July 25, 2012)

$

Sewing With Marfy Patterns Workshop
September 13-17, 2012

$100 non-refundable deposit OR
$750 full payment

$

$85 optional shopping day (September 12, 2012)

$

"It's All in the Details..."
Beautiful Blouses Workshop
October 18-22, 2012

$100 non-refundable deposit OR
$750 full payment

$

$85 optional shopping day (October 17, 2012)

$

Total Enclosed:

$

REGISTRANT INFORMATION

Name:

Address:

City/State/Zip:

Daytime Phone:

Evening Phone:

Email Address:

IN CASE OF EMERGENCY, NOTIFY

Name:

Phone:

Relationship:

FOR OFFICE USE ONLY

D __________ # __________
B __________ # __________