CRVC Program Registration Form -- June 5^th and 6^th Meeting

Mail completed form to:  Linda Berry, 343 Seabury Drive, Bloomfield, CT 06002.  Make check payable to CRVC-EGA. The deadline for signing up for this class was April 30^th, but there may be an opening if you inquire.

"Stitch for Perspective" with Lois Kershner

______Members kit fee $80;  Non-members kit fee $90

______I have enclosed $12 (June 5^th) and/or $12 (June 6^th) for lunch.

Name:     _____________________________________________________________________
 
Phone:    __________________________  Email:______________________________________