Registration Form

Name:
Address:
City/State/Zip:
Phone (Day): (        ) Phone (Evening): (        )
I am registering for:
                 _Child, (ages 6-12)

_Teens (ages 13-18)

_Adult (19 and over). 

_sewed garments

_knitting garments

_crochet garments 

Payment:   $30 Registration fee (no other fee to participate in show)

check/money order enclosed;
 

__Total enclosed;   __MasterCard; __ Visa; Card          No:                                       
Signature:                                                                                 Exp.Date:  

Please register early to ensure a space. Return to:
Zhanna FASHION DESIGNS
39 Raynham Dr., Syosset, N.Y. 11791
Phone 516-209-1480

Samples must be received by July 31st, 2010