Bus Trip Registration Form – Des Moines Area Quilter's Guild

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City State ZIP Code

Your Email Address(Required)

Your Phone(Required)

Do you have any food allergies?

If yes, please describe and we’ll do our best to accommodate.

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Bus Trip Selection

Total

How will you be paying?

PayPal (button available on the next screen)

Mailing a check to Des Moines Area Quilters Guild PO Box 71709 Clive, IA 50325