Muncy Historical Society's
4th Annual Quilt Show

Workshop Registration Form

Friday, July 18, 6 – 9 p.m.
Saturday, July 19, 10 a.m. – 4 p.m.
Sunday, July 20, Noon – 3 p.m.


This 4th Annual Quilt Show is supported by the PA Council of the Arts, a state agency, through its regional arts funding partnership, PA Partners in the Arts (PPA). State government funding comes through an annual appropriation by PA’s General Assembly and from the National Endowment for the Arts, a federal agency.

INSTRUCTIONS: Please type or write in black ink. Use only one form per person; you may copy this form for a friend(s). Make a copy of the completed form for your records. Mail completed form with your payment to: Muncy Historical Society, PO Box 11, Muncy, PA 17756. Appraisal schedule and workshop/lecture registration(s) will be confirmed prior to show.


 

Last Name_______________________________ First _______________________ Initial _____________

 

Address ________________________________ City ________________ State _______ Zip___________

Telephone (Include area code) _____________________________________________________________

E-Mail Address ________________________________________________________________________

Referred by ___________________________________________________________________________


THURSDAY, JULY 17, 2008 1 P.M. - 5 P.M.
____(101) Quilt Appraisals, Pauline Fisher.
Times scheduled on first-come, first-serve. $35/quilt, written appraisal. Make checks payable to Pauline Fisher.

FRIDAY, JULY 18, 2008 9 A.M. - 4 P.M.
____(201) “Ohio Star” Workshop, Intermediate Level, Donna Ruppert.
Class size limited. $20/student. Make check payable to Muncy Historical Society.

FRIDAY, JULY 18, 2008 7 P.M. – 8 P.M.
____(202) “Where Play Becomes Reality”, Nella Storm.
Lecture offered free; Space is limited.

SATURDAY, JULY 19, 2008 10 A.M. – 4 P.M.
____(301) Quilt Appraisals, Pauline Fisher.
Times scheduled on first-come, first-serve. $35/quilt, written appraisal. Make checks payable to Pauline Fisher.

SUNDAY, JULY 20, 2008 1 P. M. – 2:30 P.M.
____(401) PA Quilt History & Bringing Antique Fabric to Market, Joan Hamme.
Lecture offered free; Space is limited.

SATURDAY, JULY 21, 2007 2:30 P.M. – 3 P.M.
____(402) 2009 Quilt Challenge, “Dream Quilt”, Betty Neff and Judith Youngman.
Checks payable to Muncy Historical Society, P. O. Box 11, Muncy, PA 17756

 

July 18 (201) Workshop ($20) ........................________
July 18 (202) Lecture ($0) ...............................________
July 20 (401) Lecture ($0) ...............................________
July 20 (402) Lecture ($0)............................... ________
Registration Fee (must be paid) ($2)................. ________

................................................................Total ________

 

Appraisal Fee (101, 301) ($35/quilt) ________
Checks payable to Pauline Fisher, c/o Muncy Historical Society, P. O. Box 11, Muncy, PA 17756


PLEASE SIGN:

___________________________________________________________________________________
Decision of show management and its agents must be accepted in any dispute or any situation not covered by this registration /admission information or form or the interpretation of the information.