Name ________________________________________________ Telephone ________________________________

Address _____________________________________________ E-mail Address ____________________________

City _____________________________ State _______________ Zip Code ______________

GENERAL REGISTRATION	�	$10.00 (non-refundable)
WORKSHOP REGISTRATION	� � ALL DAY	$30.00
�	� � HALF DAY	$15.00
�	��� PATTERN/KIT	Payable to instructor on day of class � � See class schedule for amount

There is a possibility the class you choose will be full or not enough people will sign up. Please make a second choice. If you are signing up for an All Day workshop, fill in both morning and afternoon time slots and list a second choice for each time. NOTE: You may sign up for additional classes (space allowing) on Thursday June 10th at Panguitch High School.

REGISTRATIONS ARE DUE BACK BY MAY 31, 2004!!!

Thursday Afternoon	1st Choice ______________________	2nd Choice _____________________
Friday Morning	1st Choice ______________________	2nd Choice _____________________
Friday Afternoon	1st Choice ______________________	2nd Choice _____________________
Saturday Morning	1st Choice ______________________	2nd Choice _____________________
Saturday Afternoon	1st Choice ______________________	2nd Choice _____________________

# _____________ ALL DAY Registrations @ $30.00 � TOTAL $_____________

# _____________ HALF DAY Registrations @ $15.00 � TOTAL $_____________

# _____________ FRIDAY BOX LUNCH @ $5.00 served at Trunk Show $_____________

# _____________ SATURDAY BOX LUNCH @ $5.00 served at Trunk Show $_____________

# __________ THURSDAY DESSERT THEATRE Tickets @ $6.00� $_____________

# __________ FRIDAY DINNER THEATRE Tickets @ $12.00� $_____________

# __________ SATURDAY DINNER THEATRE Tickets @ $12.00� $_____________

# __________ PIONEER HOME TOUR Tickets @ $5.00� $_____________

CLASS General Registration $____ 10.00 ___

Total Enclosed $_____________

Check _____________	Money Order _____________ � � Payable to: Panguitch Main Street, Inc.
(We do not accept credit cards)

Print and Mail this Registration Form, along with your check, To:
Panguitch Main Street, Inc.
Quilt Walk Festival
ATTN: Elaine Sawyer
P.O. Box 858
Panguitch, UT 84759-0858

Food for Thought:

• There is always the possibility a class you choose will be full or not enough people will sign up for it. Please make a second choice.

• We require a minimum of 6 students per class.

• Some classes require an additional pattern fee.

• BSK = Basic Sewing = extension cord, machine, rotary cuter, mat, scissors, machine in good working order, needles, pins, pencil, thread.

Questions? Call Elaine Sawyer (435) 676-8285 or send us an e-mail.

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