Booking form
Please send to: Hetty van Boven, P.O. Box 283, Esk Q 4312 or scan and email

 

                                                                                          
Yes, I would love to attend the Quilt ESKape on  April 12-13 2008

Name: ____________________________________________________

Address: __________________________________________________

 

Phone number home ________________  phone number work: ___________________

Mobile: ________________________ email: __________________________________    

Please send:

 

Re meals: low fat milk is standard at the hall.
Please contact Hetty to discuss other dietary requirements to be provided.

I am paying:  $40 deposit
By: cheque/money order/direct deposit *

Balance of $145 twin share/ $165 single room  payable at the workshop.

Email Hetty for bank details for direct deposit.

Accommodation details Quilt ESKape weekend

This section will be used to book your accommodation at the motel

 

Name ___________________________________________________

I’d like a single room/ I am sharing with ______________________________________

I’ll be checking in on: Friday/Saturday
Checking out: Sunday/Monday
One night twin share accommodation is included in the cost of the weekend.


Extra nights: $73 per room twin share, $63 single room

 

Office use only:
Requirements sent: ___________
Accommodation booked: _______________