Silver Valley Scrapbook Retreat
Baymont Inn Suites, Kellogg, Idaho
April 17th—18th
NAME (person attending) ___________________________________________________
Address___________________________________________________
City, State_______________________________ Zip _____________
Day Time Phone ___________________________________________
Night time Phone __________________________________________
Email (please print) _______________________________________________
Double Occupancy $190.00 ____________ Single Occupancy $245.00 ____________
Additional Classes
Mini Album $10.00 ________ Advanced Distressing $15.00 ___________ Punch Shapes $25.00 __________
Total amount Due ______________________
Payment type
Check ________________
Credit card (please circle one) Visa Master Card
Name as it appears on card (please print) __________________________________________________
Number on Card ______________________________________________
Three digit Pin from back of card _______________
Billing address for card ________________________________________________
City and State _________________________________________ zip____________
You will get a confirmation either mailed or emailed as soon as funds post please circle your choice. Mail Email
Please send payment to
SVSR
C/O Emma Hicks
PO BOX 504
Silverton, ID 83867
phone 208-556-2581
Cancellation Policy
Cancellations with in 3 days full refund.
Before march 12th full refund minus fees
After March 13th 50%
After March 20th 25%
Please understand supplies have to be ordered for the basic and advanced classes refunds will be based on last possible
date to order to assure everything arrive on time.