Registration Form
Rhapsody in Rugs: Rug Classes
Name: _______________________________________________
Address: _______________________________________________
City: __________________________ State: ________ Zip: __________
Phone number: _______________________
Are you a Carnegie Center, Inc. member? _______
Are you a Buffalo Trace Rug Hookers member? _______      

Please check which classes you are registering for.
____ September 15, 9:30 am -3:30 pm, "About Faces" Workshop
Diane Phillips, $75 ($65 CCAH and BTRH members) **$85 kit fee payable to instructor day of class
____ September 16, 9:30 am -4:00 pm, "About Faces" Workshop
Diane Phillips, $75 ($65 CCAH and BTRH members) **$85 kit fee payable to instructor day of class
____ September 15, 9:30 am-3:30 pm thru September 16, 9:30 am-4:00 pm, "All the Ins and Outs of Fine Shading," Sibyl Osicka, $120 ($105 CCAH and BTRH members) **$135 kit fee payable to instructor day of class
____ September 30, 10 am-4 pm, "Open Hook-IN," $5
____ October 6, 9:30 am-3:30 pm, "Colors to Dye For" Dye Class and Color Theory Workshop
Jyl Clark, $75 ($65 CCAH and BRTH members) **$20 materials fee payable to instructor day of class
____ October 7, 9:30 am-3:30 pm, Colors to Dye For" Dye Class and Color Theory Workshop
Jyl Clark, $75 ($65 CCAH and BRTH members) **$20 materials fee payable to instructor day of class
____ October 20, 9:30 am-3:30 pm, thru Saturday October 21, 9:30 am-3:30 pm, "Animal Faces" Workshop. Jon Ciemiewicz, $120 (CCAH and BRTH members $105) **$80 kit fee payable to instructor day of class


Payment method
____ Enclosed is my check for $_______________
Please make checks payable to Carnegie Center, Inc.
____ Bill my credit card for $_______________
VISA / MasterCard / Discover / American Express

Name on card:____________________________

Card number:_____________________________

3-digit security code on back of card:__________

Expiration date :______________

Mail payment to:
Carnegie Center, Inc.
201 East Spring Street
New Albany, IN 47150
Phone 812-944-7336
Fax 812-981-3544