Pieceful Valley Quilt Camp
Dunnville, Kentucky

Pieceful Valley House

RESERVATION

Full Name of
contact person:
Address: City, State, Zip:
Phone (Day):
Phone (Night): E•Mail Address:
Arrival Date
& Time:		 Departure Date & Time:
Nbr of persons: Class choice:
Please specify any food allergies or special requirements
             Deposit / Advance Payment  $
Balance due on arrival  $

Thanks for choosing Pieceful Valley Quilt Camp. Please supply all information requested, then print this page and mail with check (payable to Denise Stewart) to:

Denise Stewart
1997 Dunnville Road
Dunnville, KY 42528

Reservations will be acknowledged by e-mail.  Cancellations will result in loss of deposit.
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