Workshop Booking Form

THIS ONLINE BOOKING FORM ACCEPTS CREDIT CARD PAYMENTS ONLY.
You will be directed to the ANZ egate secure payment facility after you have submitted your form.

If your payment is successfully processed, your transaction receipt number will appear below. You will also receive a confirmation e-mail including your receipt number and a copy of your application.

QuiltNSW does not collect nor store any credit card information in conjunction with this payment facility.

Please direct any workshop queries to: vicepresident@quiltnsw.com
Please direct any technical queries to: forms@quiltnsw.com

Alternatively, download complete and return the Workshop Booking Form to the QuiltNSW office.

All bookings are subject to the Workshop Cancellation Policy

Name*
First Last
Address*
Street Address City State Post Code
Email*
Phone*
10 digits. For landline, include area code. For mobile, include 0.
I confirm:*
- I am a current financial member of QuiltNSW
- I belong to a group that is a current financial member of QuiltNSW (2 places only per group)
- I am not a member of QuiltNSW and agree to pay a surcharge of $35 per day
Name of Member Group*
Workshop Selection: Members
- Chris Jurd - Strippy Sampler Quilt: Sunday 6 & 13 August: Member rate $130
Workshop Selection: Non-members
- Chris Jurd - Strippy Sampler Quilt: Sunday 6 & 13 August: Non-member rate $200
Total
$ 0.00
Comments
If your form and payment is successfully processed, you will receive a copy of the completed form by return e-mail together with your receipt details.