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Education                                                     Date_______________

EDUCATION FORM TO REQUEST A CLASS

Name: ______________________________Phone:_________________Email:____________________

Class: ____________________________________________Class Date: _________________________

Instruction________ _____________ Class Fee: ____________Check #:__________Cash _____________

Please enclose your check and mail to:

Education Committee                        OR    Present your check and this from to the registrar
Peace River Quilter's Guild, INC.                 for the class you are requesting.
PO Box 512265
Punta Gorda, FL  33951

**Classes are filled as forms and payment are received**