APPLIQUE AWAY ON GALVESTON BAY
February 16-20, 2020
REGISTRATION FORM
Name: ______________________________________
Address: ___________________________________
City: _______________________ State: __________
Zip: _____________ Country: __________________
Phone: ________________________, cell:______________
Email address: _______________________________
Please list any special needs (physical, allergies, dietary): ________________________________________________________________________________________________________________________________________________
Emergency Contact name and phone _________________________________________
ACCOMMODATIONS:
Double______ , Single________ or No lodging
Roommate’s Name: __________________________________________
Spouse/Guest’s Name: ________________________________________
Would you like us to try and find you a roommate? __________________
CLASS SELECTION: please indicate selection for each two-day class by numbering the teachers 1-4, 1 being your first choice.
Monday/Tuesday:
Carrie Golias Saint Nicholas
wool on flannel kit: $52
wool on wool kit: $68
Kathy McNeil New Beginings
Kit: $35 or
Cardinals
Kathy Dunigan Bella and Beaux
Kit: $25
Wednesday/Thursday:
Carrie Golias Elegant Floral
Kit: $58
Kathy McNeil Landscapes
Kathy Dunigan Tremont Belle
Kit: $40 Of The South
Fees Due:
Deposit: $400.00 ($416.00 Pay Pal) before November 1, 2019
Balance : $750.00 ($780.00 Pay Pal) double room
$1125.00 ($1170.00 Pay Pal) single room
$300.00 ($312.60.00 Pay Pal) spouse/guest
$425.00 ($442.00 Pay Pal) conference/no lodging
$_______
Total cost of conference due after November 1, 2019 (Deposit and Balance)
TO PAY BY CHECK: Print REGISTRATION Form, complete and mail with CHECK for deposit to:
Payable to: AAOGB
Mail to: Sally Coble
1805 Bee Creek
College Station, Texas 77840
To Pay by Credit Card: Complete ONLINE REGISTRATION form and pay via Pay Pal on " Payment Options" page.