EGA SOUTH CENTRAL REGION SEMINAR
“Stitching Tulsa Style”
June 8, 9, 10 & 11, 2005
Location: Doubletree Hotel At Warren Place
6110 S. Yale; Tulsa, Oklahoma 74136 1-918-495-1000 or 1-800-801-1317
When making hotel reservation, please state you will be attending
“SCR, EGA Seminar 2005”
Host: EMBROIDERERS’ GUILD OF OKLAHOMA, TULSA
Registration Dates:
“First Day” from June 9-12, 2004 @ Bella Vista 2004 Seminar
“Second Day” from November 1, 2004 thru January 31, 2005
“February 1, 2005 – May 15, 2005” will be “First come, First Served” basis.
Please Print
Name ___________________________________________________________________
Last Name
First Name
Middle Initial
Address _________________________________________________________________
City _______________________________ State ___________ Zip _________________
Day Phone _________________________ Night Phone _________________________
EGA Chapter _________________________ EGA Membership # ________________
E-mail ___________________________________________________________________
In Case of Emergency contact:
Name __________________________________________________________________________
Address _______________________________________________________________________
Phone # ________________________________Cell Phone #
____________________________
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We would appreciate
your filling out the following information:
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Do not write in this space!
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May we call you collect … …
… … … … … y n
I am willing to serve as a Class Angel … … y n
I am willing to serve as a volunteer … … … y n
2005 seminar: I will be
A first time attendee … … … … … … … … y n
I am an SCR Officer … … … … … … … … y n
If yes, please state office _____________________
A Chapter Officer … … … … … … … … … y n
If yes, please state office _____________________
An EGA National Officer … … … … … ... … y n
If yes, please state office _____________________
A Master Craftsman … … … … … … … … y n
If yes, please state category __________________
Judging Certification … … … … … … … … y n
Teacher Certification … … … … … … … … y n
If yes, please state category __________________
I need a list of roommates ……………….. y n
I have special diet needs …………………. y n
_________________________________________
_________________________________________
Will you be participating in the following?
Teachers’ Showcase ………………………… y n
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I release the Embroiderers’ Guild of
America, the South Central Region of Embroiderers’ Guild of America, and the
Embroiderers’ Guild of Oklahoma, Tulsa, Oklahoma, from any liability for
theft, property damage or personal injury while participating in or
attending any or all functions and meetings of SCR Seminar 2005.
Signature ________________________________________
Date _____________________________________________
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