Page 68 — 2007–2008 Education Catalog EGA FORMS GROUP CORRESPONDENCE COURSES REGISTRATION FORM Please send a registration form for these courses: (*indicates a required field) 1.  _______________________________________________________   2. _______________________________________________________ *Group Coordinator’s Name (Please Print):__________________________________________________________________________ *Street:_______________________________________________________________________________________________________ *City:__________________________________________________________*State, Zip+4____________________________________ *Telephone:(______)_____________________*E-mail:__________________________________________________________________ *Chapter:_______________________________________________________________   *Membership#:_________________________ This form is good for all Group Correspondence Courses. SASE required. INDIVIDUAL CORRESPONDENCE COURSE REGISTRATION FORM Please register me for the following course: Course Title:  _______________________________________________ Course Fee: ________________________________________________ Name (Please Print):____________________________________________________________________________________________ Street:________________________________________________________________________________________________________ City:____________________________________________________________ State, Zip+4___________________________________ Telephone:(______)_____________________________E-mail:___________________________________________________________ Chapter:_______________________________________________________________ Membership#:__________________________ Visa   MasterCard   Card #:_______________________________  Exp. Date:_______________ Signature_________________________________________________________________________ For EGA Office Use Only:  Check Number  _________  Credit Card or Money Order _______  Registration Completed: ______ Authorized by _____________________________________________________________ SEND TEXT FEE DIRECTLY TO TEACHER AFTER CONFIRMATION OF ENROLLMENT. CHALLENGE REGISTRATION FORM  Challenge Theme:__________________________________ Complete form below and send it to EGA headquarters (see address at bottom of page). You will receive the form back, fully authorized, and you must then submit the authorized form with your work, which will entitle you to a critique. Name (Please Print):____________________________________________________________________________________________ Street:________________________________________________________________________________________________________ City:____________________________________________________________ State, Zip+4___________________________________ Telephone:(______)_____________________________E-mail:___________________________________________________________ Chapter:_______________________________________________________________ Membership#:__________________________ Specify whether you want Challenge or Challenge with a Twist ( ) Challenge: Enclosed is $35.00 ( ) Challenge with a Twist: Enclosed is $45.00 Visa   MasterCard   Card #:_______________________________  Exp. Date:_______________ Signature_________________________________________________________________________ Mail your completed forms to The Embroiderers’ Guild of America, Inc., 426 West Jefferson Street, Louisville, KY  40202-3202 ALL FORMS MAY BE PHOTOCOPIED – Forms available at www.egausa.org (group coordinator or other member of group)