Miami's newest and best cross-stitch shop!
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Class Registration Form

Please complete this form and mail it to
The Cross Stitch Station, Inc., P.O. Box 310457, Miami, FL 33231.

Class Number: CL
         /               Class Date (M/D/Y) :      /     / 2003
Class Name:                                                                                     

Name:                                                                               
Address 1:                                                                        
Address 2:                                                                         
City:                                                 Zip:                           

Home Tel:                                          Bus. Tel:                                   
email:                                                                                                  

Would you like to receive our newsletter by email?    Yes: [    ]     No: [    ]

The above details will be used only in connection with business and promotions of The Cross Stitch
Station, Inc., Miami, FL.

Payment Method:   check [   ]  credit card [   ]  cash (in shop only)  [   ]
       Credit card payments:  Visa [
  ]   Mastercard [   ]
       Card Number:
                                                 Exp. Date:      /      
       Name on Card:                                                          
       Signature:                                                                 

Please send this completed form to:
The Cross Stitch Station, Inc., P.O.Box 310457, Miami, FL 33231.
Copyright ©2003 The Cross Stitch Station, Inc.,. All rights reserved.


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