Rag Quilting Workshop (Paragould)
Please complete this form to begin your registration for the Rag Quilting Workshop. 

The total cost of this class is $110 ($45 Registration Fee & $65 Kit Fee)
Please be prepared to pay the $65 Kit Fee by cash or check on the first night of class.

Registration is not complete until the payment of $45.00 is received in full.  Checks may be mailed to Black River Technical College, Community Education, P.O. Box 468, Pocahontas, AR 72455.  

Payments may also be submitted by phone at 870-248-4180.   
A 3% fee will be applied to all credit card payments, resulting in a charge of $46.35. 

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Email *
First Name *
Last Name *
Mailing Address  
(Example: 1234 Test Way)
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City, State, & Zip Code 
(Example: Pocahontas, AR 72455)
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Date of Birth *
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Phone Number (Ex: (555-555-5555) *
Email Address *
Please select your choice of Rag Quilt Design
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