May 2012 New York City
REGISTRATION FORM


Please print a copy of this form, complete it and send it along with your deposit to:

American Sewing Guild
Attn: Maria Trevino
9660 Hillcroft; Ste. 510
Houston TX 77096

Please make checks payable to: American Sewing Guild
 
Please reserve space for me on the following tour(s):
New York City Deposit Due: $300
Balance due by March 30, 2012
$ 300.00
Total Enclosed: $ 300.00
Payment Method
Check   Visa or MasterCard
  Card Number: ________________________________________
  Exp. Date: ________________________________________
  CCV: ________________________________________
Tour Options (mark all that apply)
Single Room Supplement - $975
ASG Member
Member ID Number: ________________________________________

REGISTRANT INFORMATION
Name:
Address:
City/State/Zip:
Phone 1: Phone 2:
Email Address:
ROOMMATE REQUEST
We will make every effort to match you with a suitable roommate, but cannot guarantee it.
I prefer a non-smoking roommate I prefer a smoking roommate
Roommate's Name:
IN CASE OF EMERGENCY, NOTIFY
Name: Phone:
Name: Phone:
I would like information on trip cancellation, baggage loss, travel accident and optional sickness insurance.
I am not interested in buying any of the above insurance.  (We strongly urge the purchase of insurance)
Medical problems or dietary restrictions? Please elaborate on a separate sheet.
I have read and understand the cancellation policy. Sew Many Options Tours, SAF-T-POCKETS Patterns and American Sewing Expo are not liable for any personal injury, property damage, or other loss, accident, delay or inconvenience caused by any supplier or any party not under their control. Your signature indicates your understanding and agreement to this.
Signature: