Cross Stitch Pals Fall Fling
October 19-23, 2011


Name __________________________________________________

Street/PO Box ___________________________________________


E-mail address_______________________ Phone(____)_____-_______

Registration fee $60.00 ~ NON REFUNDABLE & non transferable!!!!

Payment is due in full when application is mailed.

Registration deadline is August 15, 2011.  Late registration - add an additional $15.00 fee.  

Registration will be limited to 65 attendees.


Date of arrival ___________________________

We accept check (preferred), money order, OR **Visa, Mastercard, AmExp or Discover, PayPal for registration payment.  **There is an extra $2.50 processing fee when paying by Credit Card or PayPal.

Circle one - Visa - MC - AmExp - Discover + **$2.00

CC#______________________________________ Exp. date__________

Please include billing address if different from above:

Mail this form with payment to:
(Checks or money orders must be made payable to Down Sunshine Lane.
Down Sunshine Lane
1299 Hunters Lane
Manning, SC  29102