Coburg Quilt Show

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Tea Registration

Please read the information page before completing this form. Thank you for filling out the form below. You will receive a confirmation notice within 24 hours. IF YOU DO NOT receive confirmation in 24 hours please check with Linda at:  jayjaysnana@q.com.

The fields marked with (*) are required fields.

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Full Name
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Address
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City
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State
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Zip Postal Code
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Telephone Number
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Email Address
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Number in party

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Reservation Time Requested
10:45AM
12:00PM
1:15PM
2:30PM
 
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