Registration Form - IEC 2018

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* 1. Full Name

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* 2. EGA Member # (if member)

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* 3. Your Contact Information

Name *

Address *

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address

Phone Number *

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* 4. Emergency Contact

Name

Relationship

Address

Phone (Home)

Phone (Cell)

Cancellation Policy for Single Lecture/One Day Registrations: No refunds will be made after March 14, 2018.

Cancellation Policy for Full Conference Registration (Now Closed): Cancellations until March 14 will receive a full refund LESS the $100 non-refundable deposit. No refunds will be made after March 14, 2018.

Liability Release: I agree to the cancellation regulations above and release The Embroiderers' Guild of America and the International Embroidery Conference from any liability for theft, property damage, or personal injury while participating in or attending any or all functions & meetings of the International Embroidery Conference 2018.

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* 5. Please Check Below

I have read and agree to the above cancellation policy and liability release

I have paid my registration fees on www.egausa.org