Registration Form
Mail or Fax to VCC, Box 938, Montpelier VT 05601 or (802) 223-7974
Name: _________________________________________________________________
Company: ______________________________________________________________
Address: _______________________________________________________________
Phone: ____________________ E-mail: _______________________
Web Site Address: _______________________________
Number of People Attending: _____
______ Members, $63 ______ Non-Members, $87
______ I plan to join at the conference $63 conference fee + $60 member fee = $123
Payment Method:
___Check: ___Credit Card: Visa/MasterCard ___Debit
Card #: _____________________________________________________________________
Exp. Date:_______/_______ 3 digit security code:_____________________________
Address Associated with this card if NOT above:
______________________________________________________________________
Signature: _____________________________________________________________
Please mail to: Vermont Crafts Council, Box 938, Montpelier VT 05601
Or Fax: (802) 223-7974 Questions? (802) 223-3380, E-Mail: Vt1crafts@aol.com
____________________________________________________________________
