Registration –

Registration

Name

First
Last
Address

Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code

Country
Email
Phone

### -
### -
####
Which Workshop?

February 3-4, 2012 Salt Lake City, Utah
Room Type & Registration

$850 Shared Room

$1050 Single Room
Payment Method (for all three payments)

I will be sending a check (We will send you an email with address information)

I will be paying by credit card (We will call you for the information to keep that information from being exchanged over the Internet)

I will be paying by both check and credit card.

We will contact you by email to determine how you want to pay the $50 to hold your spot for this session. You will not be paying at this time in this registration form.
Is there someone you want to be paired with for your hotel stay?
Meal Service (Do you have an allergies or meal requirements-such as vegetarian—that we need to be aware of?)
Is there anything else you need to tell us?

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Hi! I'm Carina Gardner, mommy, designer, and instructor. I'm passionate about design...live it, breathe it, eat it. Thanks for visiting my blog! I'm mad about creativity and love sharing it with you! Where can you find my fabric, paper, and digital designs? Click on these links:

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