Registration for Starved Rock Day of Weaving 2007 
May 14 

Name: _________________________________________________________

Address: ________________________________________________________

City, State, Zip: __________________________________________________

Phone Number: __________________________________________________

Email: __________________________________________________________

Kit fee is $35- including materials, handle & pattern.

Partial kits:

$12 for hand carved oak handle & pattern.

$20 for hand carved oak handle, pattern & dyed reed

Registration fee ____________________________________ $30

Full kit Large (27" long x 10 1/2" tall) _____ @ $35 each = _____

Choose color ____ rust & blue Spruce ____ navy & burgundy

Full kit Small (19" long x 8 1/2" tall) _____ @ $35 each = _____

Choose color ____ rust & blue Spruce ____ navy & burgundy

Handle & pattern only ________________ quantity _____ @ $12 each = ___

Handle, pattern & dyed reed ___________ quantity _____ @ $20 each = ___

Choose color ____ rust & blue Spruce ____ navy & burgundy

Total included ____________________________________________________

Hot entree __________________ Chicken Parmesan ______ or,

Croissant choice (circle one): Chicken Salad, Turkey, Beef, Ham or,

Vegetarian entree _____

Send this form with a check payable to LLBWA and a business sized, self-addressed, stamped envelope to: Catherine Boaz 504 Chelsea Drive Bloomington, IL 61704

If you have any questions, please contact Catherine at (309) 662-7246 or email her at j.t.boaz@insightbb.com

NOTE: Deadline is May 14th! No cancellations after June 1st. No cancellations on kit orders.