2005 Embroidery Digitizing Retreat
Registration Form
You will be directed to Retreat Shopping Cart upon submission of registration.
If you prefer to pay by check or money order, please mail to:
2005 Embroidery Digitizing Retreat
c/o E. A. Clark
3685 Blue Goose Rd.
Lawrenceburg, In  47025
Please mail by February 11 to make February 15th deadline.  Thanks!
Name: *
Address: *
City, State, Zip Code *
Phone (Day): *
Phone (Evening): *
E-mail Address: *
I wish to participate in and pay for the following retreat activities: (Please mark each applicable item) *
Retreat Deposit $50.00 (non-refundable)
Retreat Balance $200.00
Total Retreat Amount $250.00
Ticket for Eleanor Burns Lecture $10.00
1 Day Pass for Amish Quilt Show $4.00
2 - 4 Day Pass for Amish Quilt Show $7.50
Total Amount to be paid: *
Method of Payment: *
Please take a moment to answer the following questions to help us plan our sessions:
Thank you.
Do you currently have the Bernina Artista Designer Plus V4 Software? (Required) *
Yes
No
Will have by retreat
How long have you been digitizing? *
What level do you consider yourself? *
What brand and model of sewing/embroidery machine(s) will you be bringing? *
Do you own a mega hoop? *
Yes
No
What brand, model and size? *
If no, what size is the largest hoop you will be bringing?
What are you hoping to learn from these digitizing lessons?
What kind of project would you like to complete during the retreat? (Please number in order of preference.)
Indicate below
Garment *
Wall-hanging *
Quilt Project *
Embroidery/Sewing Journal *
Other:
Your project suggestion(s):
Other comments, suggestions you would like to share regarding your hopes and expectations:
Where did you hear about the retreat? *
* RequiredCreate Email Forms