Registration for Starved Rock Day of Weaving 2009
(June 8, 2009)
Name:
_________________________________________________________
Address:
________________________________________________________
City, State, Zip:
__________________________________________________
Phone Number:
__________________________________________________
Email:
__________________________________________________________
Sunset at Starved Rock Tote
_____
Full Kit with dyed reed
(includes a=l supplies, base, handles ,pattern and tie-on)
$35
_____
Full Kit with natural reed
(include= all supplies, base, handles ,pattern and tie-on)
$30
_____
Kit
(pattern, base, leather handles and tie-on) $24
_____
Individual components: (please indicate
the number you want for each)
___ Pattern
$3.50
___ Base
$8.75
___ Pair of leather handles$11
___ Tie-on
$3.75
Registration fee (which
inc=udes room rental, breakfast and lunch) $30
Total included
____________________________________________________
For lunch please choose
which y=u prefer:
_____ Hot entrée (Grilled
Chicken Brea=t with honey mustard glaze)
_____
_____ Vegetarian entrée
(Pasta Aja)
Send this form with a check
payble to LLBWA to: Mary Ann Ford,