Membership form and Subscription to Quilt Chatter
Dues are $20/year and include a Subscription to the QUILT CHATTER
For Membership October 1st – September 30th
Renewals are DUE by Sept. 30, 2011 and are not prorated. RENEWAL NEW Membership
Date: _________________________________________________________________
Name: ________________________________________________________________
Street ___________________________________________ Apt No. _________Bldg No._________
City: _______________________________________________State: __________ Zip:____________
Phone #: ___________________Cell:_________________ E-Mail:_____________________________
Birth Month:______________ Day:___________
Are you a member of: NQA AQS
PLEASE CHECK THE GROUP YOU MEET WITH:
Art Quilts Quilt Crazies Black Mountain Rainbow Blue Birds Scarlet Bonnets Boulder Cut-Ups Crazy Threads Silver Threads Green Valley Snowbirds Lone Mountain Silver Doll-ers Friendship Stars None
Send a self-addressed, stamped envelope with this membership form to receive your membership card.
Make check payable to Desert Quilters of Nevada.
MAIL TO: Mary Sprenger 4012 Briar Ct Las Vegas Nevada 89115
Questions? Call Mary at 644-4354 or e-mail her at meslv7777@aol.com
visit www.desertquiltersofnevada.org
FOR OFFICIAL USE ONLY.
Cash Check # __________ Date Rec’d ___________________ Date Processed ___________________