Artistic Figures In Cloth 2009 Registration form.

Please print clearly or type.

First Name _____________________Last Name______________________________________

 Address_______________________________________________________________________

City ________________________State _______________Zip _____________Country_________

Home Phone ( _____)_____________Work Phone ( _____ )_______________

Email Address____________________________________________________________________ Please print clearly

  Friday Saturday Sunday

1st choice Workshop #

Name of Workshop

 

      

2nd choice Workshop #

Name of Workshop

 

      

3rd choice Workshop #

Name of Workshop

 

      

 

*If you are taking two 1/2 day classes list them Example    Heads You Win #1M3

                                                                                                 Little Cat Z #1A7

 

Please check yes or no on the following questions.  It is not something we hold you to,  it just gives us a idea of our students expectations and helps us plan the event better.  

 

Yes (  ) No(  )  I will be entering a doll in the "It's My Hang-Up" challenge?

Yes (  ) No(  )  I plan on bringing dolls to the "Figures in Cloth Just for Fun" display?

Yes (  ) No(  )  I want my name, address and email put in the Memory Book?

Yes (  ) No(  )  I will be donating a doll to the Silent Auction (used to pay for scholarship program?

Yes (  ) No(  )  Do you plan on participating in - Up Till Midnight Crazy Doll Makers Night?

Yes (  ) No(  )  I would like to be an Angel in my classroom and aid the teacher if I am needed.

Yes (  ) No(  )  I will be staying at the University Plaza Hotel.

 

Only if this applies - I am bringing a display from my Doll Club   

 

Name of Doll Club_____________________________________________________

 

 

 

 

 

 

 

1. Registration Fee - See General Information  Registration fee is $399.00

Write this amount in on this line if you are registering for the convention.  ---->

  

2 Sunday 6:30 Closing banquet   May 3, 2009  - $32.00 per person.

The inspirational elinor peace bailey will entertain us, "Breaking Thru the 21st Century Doll making Hang ups."  

Available to both registered and non-registered students                                 number of tickets for the banquet _____ x $32.00 per person =

 
3. Non-Registered Students -  ONLY -totals from Section II below                                                                             Classes and meals totals =  

4. Add lines 1, 2, and 3                                                                                                                                                 Sub-Total =

 

5. Total of enclosed     Check,  Money order for Credit Card -fill in information below.

    $75.00 non-refundable deposit Minim must be paid when registering - After March 15 you must pay in full                         Total paying today  =

 

6. Subtract line 4 from line 5.  Amount remain due by 3/15/09

 

 
SECTION II   ***Non Registered Students only****  
NON-REGISTERED STUDENTS -  are not entitled to the full package..  Half day classes are $65.00 *Full day classes are $130.00 * 1-1/2 day classes are $195.00 * 2 day class $260.00 and a 3 day class is $390.00              Calculate the your classes from your workshop section.    =
Hat and Heels Banquet Thursday April 30, 2009 $36.00 per person     ___ x $36.00  
Lunch is $23.00 per all meals include 19% hotel service charge and Sales Tax at 6.75%   $23.00 x __________number of lunches =  
Total List  on Line 4 above  

Make check payable to: Cyndy's Dolls, LLC or 

Visa or Master Charge - Amount to be charged will be the amount appearing on line 5 (Total of Enclosed)

____Visa _____Master Charge__ V-Code __ __ __ (on back of card)

Expiration Date _____/_____ Card Number __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ 

Card Holder's Signature ___________________________________________Date________ 

 

NEW OPTION PAYMENT PLAN: If you wish to take advantage of Credit Card Payment options to pay the unpaid balance, you must check one of the options below and Sign permission below.

(  )  Cyndy’s Dolls, LLC has my permission to charge my Credit card for the full about due on line 6 on 3/15/09

(  )  Divide line 6 into equal monthly payments to be charged to my credit card on the 15th of each month.  The last payment will be charged on 3/15/09

Card Holder's Signature ___________________________________________Date________ 

 

Make check or Money Order payable to and mail to: 

Cyndy’s Dolls, LLC, P.O. Box 44244, Columbus, OH 43204

Registration must be paid in full by 3/15/09 registration after 3/15/09 you must pay in full.