Quiltport USA Registration Form

April 19 - 21, 2013

Please print:

Name: ______________________________________________ Address: _______________________________________________

City, State, Zip_______________________________________________ Home phone: ______________________ Cell phone: ___________________

E-mail address_________________________________________________ (You will receive confirmation by e-mail)


Rooms are to be booked and paid for through the Hilton Garden Inn, Freeport, Maine (207) 865-1433, located at 5 Park Street Freeport, Maine. Please let them know you are attending QuiltPort USA for event pricing, limited rooms available at the special price of $105.00 per room.  To visit the Hilton Garden, go to:  www.freeportdowntown.hgi.com Registration cutoff date is March 18,2013 to receive the discounted room rate. For your convenience, the Hilton Garden Hotel will be making available to you an A la Carte lunch buffet of sandwiches, salads, chips, cookies and soft drinks for a nominal fee (only cash is accepted for the lunch buffet). Per Hilton Garden's policy, no outside food or alcohol is allowed in the ballroom.

Registration fee: $125.00     Table Runner Mystery: $15.00  Yes_____ No______

No need to leave the ballroom to participate in the mystery!  It will start Friday morning and goes through Sunday and you may work on it at your leisure and still sew along with your friends. The cost is $15.00. There will be "Show and Tell" Sunday morning at 10:00. It's fun and you'll go home with a finished project!

Block Swap, "Free" - We just need to know if you want to participate.   Yes_______ No_______ Directions for the Carolina Chain quilt block will be posted on the website at a later date.

We are collecting pillowcases for ConKerr Cancer. This is optional. For each pillowcase you donate, you'll receive a ticket for a very special gift basket! No limit. Drawing for basket will be done during "Show and Tell" on Sunday.

Refunds for cancellations will not be given after April 1st, no exceptions.  After April 1st, if you are unable to attend, if you find a replacement, a refund less $25.00 processing fee will be issued.  _________please initial.

Registration fee: $125.00    Mystery: $15.00   Total amount: _________________

Please make check payable to: QuiltPort USA, Registration will not be processed if not paid in full.  A $25.00 charge will apply to all checks returned by the bank.
Please mail registration form to: QuiltPort USA, 46 Merriman Cove Rd., Harpswell, ME 04079

Please note, QuiltPort USA will not be held responsible for injury, theft, loss or damage to either yourself or property. QuiltPort USA has taken all precautions to offer you a safe and secure environment in which to learn, sew and enjoy your workshop and quilting experience.

I agree to the above policy as well as the Cancellation and Refund Policy set forth above:

Signature____________________________________    Date:                        

(Registration form and payment will be returned if not signed and accepted upon signature your spot will be temporarily held for 10 days)

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For office use only: Date received__________ Amount Enclosed____________ Registration #_______________ Check sent to Treasurer: _______________________