| Name_________________________________________________ Address________________________________________________ ______________________________________________________ Phone #________________________________________________ E-mail address___________________________________________ (Used for confirming your registration) Please print clearly. *Please check which type of weekend you are registering for* Scrapbooking____ Quilting____ Free For All_____ Date to book ________________________________________ check-in time 5 p.m. Thursday_______ 10 a.m. Friday_________ ($25.00 deposit per person) Please make check made out to A Time To Create Check number_______ Amount of check_________ How did you hear about us?________________________________________ Is this your first visit with us? yes_____ no_____ The coordinator of my group is ____________________________________ Yes, I would like to book a massage______ Must be booked in advance but paid for at the time of massage Please print form and mail to: A Time to Create 4976 181st Street Chippewa Falls, WI 54729 |
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