Instructions:  Fill out the form below online, print it (File/Print), and mail it to the address listed below OR click on the link at the bottom of the page to download and print an informational brochure that also has a registration form attached.

Dues are $20/year and include a subscription to the QUILT CHATTER

for membership October 1st - September 30th

Renewals are DUE by Sept. 30, 2008 and are not prorated.

                                                           Date: _________________

Name: ________________________________________

Street: ________________________________________

City: __________________________ State: ______ Zip: ___________

Phone: ________________________ Cell: _______________________

Email: ________________________

Birth Month: _______________________ Day: _________________

Are you a member of:  NQA______________ AQS_______________

PLEASE CHECK THE GROUP YOU MEET WITH: