APPLIQUE AWAY ON GALVESTON BAY
February 20-24, 2022
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? __________________
Thursday night stay.
CLASS SELECTION: please indicate selection for each two-day class by numbering the teachers 1-4, 1 being your first choice.
Monday/Tuesday:
Laurel Anderson "Geraniums"
Kit: $66 Pattern: $10
Doily shapes: $13
Flower Shapes: $7
red or rich pink
Linda Neal "Beautiful Bias Basket" Kit: $60 Pattern: $15
Catherine Redford "Let's Fly"
Kit: $85
Dena Rosenberg "Roseville Vase" Kit/pattern: $55
Kit fee alone: $35
Pattern only: $20
Wednesday/Thursday:
Laurel Anderson "April"
Kit: $40
Pattern: $10
Linda Neal " Twisted Flowers" Kit: $20
Catherine Redford "All My Life's a Circle"
Kit: $75
Dena Rosenberg "Roseville Album Bird" Kit/Pattern: $55
Kit only: $35
Pattern only: $20
Fees Due:
Deposit: $400.00 ($416.00 Pay Pal) before November 1, 2021
Balance: $850.00 ($884.00 Pay Pal) double room
$1,225.00 ($1274.00 Pay Pal) single room
$350.00 ($364.00 Pay Pal) spouse/guest
$525.00 ($546.00 Pay Pal) conference/no lodging
$_______
Total cost of conference due by November 1, 2021 (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
I have read and accept the terms of AAOGB's cancellation/transfer policy signed/dated
To Pay by Credit Card: Complete ONLINE REGISTRATION form and pay via Pay Pal on " Payment Options" page.