2012 Registration Form
Please
mail the following form with your check or money order (in US funds) for the full amount for the workshops payable to:
"Hooked in the Mountains Workshops" and send to:
Mary Lee O'Connor, 259 Sweetman Road, Ballston Spa, NY 12020
Name (as you would like it to appear on your name tag)
__________________________________________________________________________________
Address__________________________________________________________________________
(City, State, Zip)___________________________________________________________________
Phone _______________________________________________
E-mail address___________________________________________________________________
Please check if vegetarian meals are required ______________________________________
Workshops selected (list alternate choices in order of preference)
November 10 - 12
1st
choice________________________________________________________________________
2nd choice_______________________________________________________________________
3rd choice________________________________________________________________________
November 13 - 15
1st
choice________________________________________________________________________
2nd choice_______________________________________________________________________
3rd choice________________________________________________________________________
November 16 - 18
1st
choice________________________________________________________________________
2nd choice_______________________________________________________________________
3rd choice________________________________________________________________________
Total for all workshops $_______________
The reduced rate is for guild members with paid-up dues. Information on joining
the guild can be found on the guild's website www.gmrhg.org or by calling Jane Griswold at 802-775-6807 or email gris33@myfairpoint.net. If you are joining or rejoining the guild please write a separate
check to the Green Mountain Rug Hooking Guild and mail it to Jane per instructions on the website. Thank you.