May 2017 New York Fashion Tour
REGISTRATION FORM


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

American Sewing Guild
Attn: Jillian Lipper
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 Fashion Tour Deposit Due: $500 ($50 non-refundable)
Balance due by March 1, 2017
$ 500.00
Total Enclosed: $ 500.00
Payment Method
Check   Visa | MasterCard | AMEX | Discover
  Card Number: ________________________________________
  Exp. Date: ________________________________________
  CCV: ________________________________________
Tour Options (mark all that apply)
Single Room Supplement - $800
ASG Member
Member ID Number: ________________________________________

REGISTRANT INFORMATION

Name:
Address:
City/State/Zip:
Home Phone: Cell Phone:
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 issues or dietary restrictions? Please elaborate on back or 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: