Stitch n Bitch in Tuscany Enrollment Form

Toscana Americana Workshops

"Stitch 'n Bitch Tuscany"

September 15-22, 2007

All prices shown before discounts

(Please print, complete and mail this form.)

To confirm a reservation it is necessary that this form is filled in and signed, then mailed to us with the necessary payment. Enrollment requests are processed on a first-received basis. Due to enrollment limitations we may not be able acept all requests for enrollment. In this case we may offer you alternate dates which you may elect to accept or decline within seven days.

PARTICIPANT INFORMATION

(List all participants and non-participants separately and include with form)

Contact Name_______________________________________________

Address_____________________________________________________

City__________________________ State__________ Zip Code________

Country______________________________________________________

Telephone-Day_______________ Telephone-Evening_________________

Email__________________________ Fax__________________________

Emergency Contact phone number: ____________________________

Special or dietary needs:_____________________________

Signature (required) X _________________________________________________

__ From arrival in Cortona Saturday September 15, 2007 to departure Saturday,

"Stitch 'n Bitch in Tuscany" Accommodation Choice & Price Calculation

Prices effective October 1, 2006

Three-star Hotel Plans(based on availability, other hotels may be used):

Hotel Sabrina______

__Hotel Plan A: Workshop Participant one-week w/Group Meal Plan* (GMP) ...$2699.00 single occ

__Hotel Plan B: Workshop Participant one-week, no meals.….................$2399.00 single occupancy

__Hotel Plan E: One-week, 1 participant & 1 non-participant, w/GMP.....$4898.00 double occupancy

__Hotel Plan F: One-week, 1 participant & 1 non- participant, no meals...$4298.00 double occupancy

__Hotel Plan G: One-week, each added non-participant, w/GMP………..$2299.00 single occupancy

__Hotel Plan H: One-week, each added non-participant, no meals…….....$1899.00 single occupancy

*Group Meal Plan (GMP): Includes daily Italian breakfast, lunch, dinner, wine tasting.

NOTE:__Special Hotel Oasi Plan: No longer available

Total Due: $_______________

US$250.00 deposit per person due with enrollment form. Those enrolling after June 15, 2007 please remit payment in full.

Preferred Payment Method (See Enrollment & Reservation Terms and Conditions)

Checks accepted only.

Make checks payable to: "Patrick J. Mahoney TA "

Authorized Signature________________________________________

Mail completed form to:

"Stitch 'n Bitch in Tuscany" 2007

Patrick Mahoney/Toscana Americana Workshops

367 West Broadway

Gardner, MA 01440

All enrolled participants will receive written confirmation and further workshop information. This workshop is offered based on a minimum number of participants. Toscana Americana may cancel this workshop if the minimum number of participants is not met by June 15, 2007. In this case all payments will be returned.

We look forward to your participation in

"Stitch 'n Bitch in Tuscany"!