Workshop Registration Form

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

I would like to participate in the Gift Game, and I understand that I am to bring one, wrapped gift valued over $5 even if I didn’t necessarily spend that amount. (Look for amazing sales!)

YesNo

I would like to participate in the ‘Twas the Night Before Christmas’ Ornament Exchange Game, and I understand that I may make a Stampin’ Up! ornament or purchase a new one.

YesNo

I would like to participate in the Stampin’ Up! Card Swap, and I understand that I may only use current Stampin’ Up! Products.

YesNo

I am making payment using PayPal. I understand that the Early, Early Bird Special fee of $65 is due no later than August 18, 2019, Early Bird Special fee of $75 is due no later than September 4, 2019. (After 9/4, but no later than 10/5/19, the fee is $85)

YesNoEarly Early Bird SpecialEarly Bird Special

I am making payment by sending a check made out to Sue Berreth. I understand that the Early, Early Bird Special fee of $65 is due no later than August 18, 2019, the Early Bird Special fee of $75 is due no later than September 4, 2019. (After 9/4, but no later than 10/5/19, the fee is $85)

YesNoEarly Early Bird SpecialEarly Bird Special