AQT 2012
REGISTRATION FORM
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Required information is indicated by an asterisk*.  Please print two copies of the form for your record and mail a signed copy to: AQT, PO Box 365, Nevada City, CA 95959. You will be sent confirmation of your registration upon receipt of your signed form.
* First Name Nickname * Last Name
* Address * City * St/Prov
*Postal Code Country  
*Home Tel Work Tel * E-mail

Workshop Selections
Select three workshops in order of your preference. If a workshop does not fill or the instructor must cancel for any reason, you will be enrolled automatically in your 2nd choice, or 3rd choice, or you may choose another workshop.  If you do not elect a 2nd or 3rd choice cancellation fees will still apply. You may change workshop choice up to 60 days prior to the conference. Changes after that date will be assessed a $25 change fee.
Workshop dates:

November 4th to 9th PLEASE use the drop down boxes to make your selections
* 1st * 2nd * 3rd
Conference Fee
Guest/Spouse Meal Plan*
If you choose a shared room and know who your roommate will be, please include his/her name to the right. Roommate:
Single Room Rate applies if spouse/guest attends or if a "snoring" room is required.
Please check the box for Vegetarian Diet

I agree to the terms, conditions and cancellation schedule and hereby authorize and permit Art Quilt Tahoe to retain the credit card number supplied and charge the balance of the conference fee, between August 20th and August 31, 2012, and/or cancellation fees that may apply. Art Quilt Tahoe reserves the right to make any changes to the conference schedule, venue, teachers and accommodations at any time it deems necessary or as conditions may require.

Cancellation Policy
We make good faith commitments to our facility, teachers and vendors.  Thus, if you cancel your registration, the following Cancellation Policy applies:

  • Your Deposit is non-refundable if you cancel after May 31st.
  • A $50 Cancellation Fee will be assessed if you cancel your Registration before May 31st.
  • Balance of Conference Tuition is due by August 31st.
  • No refunds of any Tuition paid after August 31st.
  • We encourage you to obtain Travel Insurance.
  • You may transfer your tuition to another person.


___________________________________________________________                         ____________________________
Signature is Required to Confirm Attendance                                                        Date
If you are paying by check or money order, please make it payable to Art Quilt Tahoe and send it to:
     Art Quilt Tahoe c/o Dogwood Interiors, P.O. Box 365, Nevada City, CA 95959, 530.887.0600.
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After completing and printing this form, click once on the "Submit" button below to transmit your registration information.  You will have an opportunity to edit your information, if need be. You will be transferred to a secure page to arrange payment. An e-mail confirmation of your conference details will be sent to you.