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Pacifically Passap May 22- 24, 2009 Registration Form

Print & mail Registration to:

KNIT-A-BIT, LLC 16925 S. Beckman Rd. Oregon City OR  97045-9366 (503) 631-4596

Which sessions will you be attending?
Choices	Description	@	Due
	2 Days of classes, 2 lunches/fashion shows	$125
	Saturday, Lunch & fashion show	$65
	Sunday Lunch & fashion show	$65
	Saturday Extra Lunch Ticket Name on Ticket:	$15
	Sunday Extra Lunch Ticket Name on Ticket	$22
	Total Amount enclosed (US Funds only)

Payment Information		Please Note:  Above class fees are good until January 31, 2009.  After 1/31/09, the 2 day fee goes to $150.00 and the single day goes to $75.00. Beginning April 15, 2009,  fees will be $175.00 and $90.00, respectively. No extra meal tickets may be purchased at the door. No refunds after April 15, 2009
MC   Visa Personal Check enclosed
Credit Card Number
Name on Card
Card Validation	(From back of card)
Expiration Date	Month 1 2 3 4 5 6 7 8 9 10 11 12 Year 2006 2007 2008 2009 2010 2011

Address	Special dietary or other needs:
Name:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Email Address