Retreat_Registration

THE HOUSTON EMBROIDERERS' GUILD

Retreat Registration

                   September 26 – 30, 2012 at Camp Allen, Texas
                                      Registration Form

Name: ___________________________________________________________________

Address: __________________________ City, State, & Zip:_______________________

Home Phone: ______________________ Cell Phone:____________________________

Roommate:    _____________________________________________________________

Emergency Contact:____________________________ Relationship: _______________

Phone (Day):______________________ Phone (Night): ________________________

We only have 15 rooms this year so get your registration form and deposit in early to secure
your room. Please select one of the following options. Price includes 3 meals per day.
Check-in 3:00pm Check out: 12:00pm

The fee includes a $5.00 per person, per night discount subsidized by HEG

_______ 4 days double occupancy: $316

_______ 3 days double occupancy: $237   (please indicate which nights: □ Wed. □ Thurs. □ Fri. □ Sat.)

_______ 2 days double occupancy: $158   (please indicate which nights: □ Wed. □ Thurs. □ Fri. □ Sat.)

_______ 1 day double occupancy:    $79     (please indicate which nights: □ Wed. □ Thurs. □ Fri. □ Sat.)

_______ 4 days single occupancy:    $456

_______ 3 days single occupancy:    $342    (please indicate which nights: □ Wed. □ Thurs. □ Fri. □ Sat.)

_______ 2 days single occupancy:    $228    (please indicate which nights: □ Wed. □ Thurs. □ Fri. □ Sat.)

_______ 1 day single occupancy:     $114     (please indicate which nights: □ Wed. □ Thurs. □ Fri. □ Sat.)

You must be a member of the Houston Embroiderers’ Guild to participate. If you are
not a member, we welcome you to join as a Primary or Plural member. Find our
membership form at www.myheg.com

Payment Deadline: A non-refundable $100 deposit is due with your registration form
to hold your place. Full payment is due by June 28, 2012 If full payment is not
received by June 28, 2012, your place may be released.

Cancellation Policy: The $100 deposit is non-refundable. If you cancel before June
28, 2012, any fees you have paid in excess of the deposit is refundable. There are
no refunds after June 28, 2012.

Return registration form and check payable to “HEG” to:
                          HEG Falling Needles Retreat
                          c/o Shannon Shock


Questions? Contact Shannon Shock. See online Membership Directory for her
contact information.