Homespun Hearth's
Quilting in the Rockies Retreat
The Inn at Palmer Divide
September 8 - 12, 2010

 

Fill out this form and and then print and mail to:  
Homespun Hearth, 
C/O Retreats
15954 Jackson Creek Parkway
Suite B #564
Monument CO 80132 
 

You can make your initial deposit or full payment at this link
http://www.homespunhearth.com/detail.asp?product_id=ZM-Retreat-10

 
However, your final reservation is confirmed only when we receive the below paperwork:
 

 

Personal Information

Full name (& Nickname ?)

 

Home address (street /city/state/zip)

 

Home phone & Cell Phone

 

E-mail address

 

 

Travel Information

Are you traveling with a friend?

 

Name of Friend?*

 

If you are traveling alone, would you like a room-mate, or would you prefer Single Occupancy?

 
Are you flying or driving?  
*If there are 3 or 4 of you in your group, and you would all like to share one room with two Queen beds, please give us all names in your group.

Airline Arrival Information

Date

 

Airline & Flight number

 

Departure City & Time

 

Destination city

Colorado Springs, Colorado -or-

Arrival time

 

Airline Departure Information

Date

 

Airline & Flight number

 

Departure City & Time

 Colorado Springs, Colorado -or-

Destination City & Arrival Time

 

 

Payment Information

 

Amount Paid: $_______________________________________

Credit Card:
Name on Credit Card:______________________________
Credit Card Number:_______________________________
Expiration Date: ___________________________________
Signature: ________________________________________

-or- -- Paid Online - http://www.homespunhearth.com/detail.asp?product_id=ZM-Retreat-09
Date:
Amount:

-or-
Check #______________________________________-

 

A $125 non-refundable deposit is required at sign-up ($250 for singles), and the balance is due by Aug 15, 2008.  (The deposit is 100% non refundable, but it may be transferred to any person not already registered. )
Costs:
Full Plan - $890 Double Occupancy/$1210 Single

*If you are traveling with a spouse or other non-quilter, and would like to stay in a Premium King Suite the over-all cost for the full retreat (for you) and lodging, and meals, for your companion is $1480 - Please pay $250 Deposit to hold the Room.

Triple - $803  ($125 Deposit)
Quad - $=750 ($125 Deposit)

Please note, we will only find roommates for Double Occupancy
Commuter Plan - $610 ($125 Deposit)