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Pacifically Passap Plus May 27- 29, 2011 Registration Form

Print & mail Registration to:

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

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Choices	Description	@	Due
	2 Days of classes, 2 lunches/fashion shows	$200
	Saturday, Lunch & fashion show	$105
	Sunday Lunch & fashion show	$105
	Saturday Extra Lunch Ticket Name on Ticket:	$22
	Sunday Extra Lunch Ticket Name on Ticket	$25
	Total Amount enclosed (US Funds only)

Payment Information		Please Note:  Above class fees are good until February 15, 2011.  After 2/15/2011, the 2 day fee goes to $175.00 and the single day goes to $90.00. Beginning April 15, 2011,  fees will be $200.00 and $105.00, respectively. No extra meal tickets may be purchased at the door. No refunds after April 15, 2011
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 2011 2012 2013 2014 2015 20161

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