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PLEASE CIRCLE ONE:            RENEWAL                 NEW MEMBER                        JUNIOR MEMBER  

Name: ______________________________________Telephone: ______________________________

Address: ____________________________________ City/Zip: ________________________________

*Email: _____________________________________ Birth Date (No Year):   Month _____  Day ______  

*Newsletter will be sent to your email address if you provide it (as this saves mailing prep. time and cost).

Describe any special skill you have that you would be willing to share with the Guild membership:

Membership Fees:   Regular Member   $35.00          

                                Junior Member $5.00 (Age 9-17 years)                            
                                Sponsor, Name of Regular Member: ______________________________

Return completed form and a check to:   
Membership Chairperson, Capital Quilters Guild, P.O. Box 192, Concord, NH 03301-0192,
or, join us at the next regular monthly meeting and bring in the form and payment with you.
See the calendar of events on the home page for our next meeting.

"Where friends meet and make new friends."
P.O. Box 192.Concord.NH.03302-0192
The mission of the Capital Quilters Guild is to encourage and promote the art of quilting 
through education and fellowship, while giving back to our community.
CQG Name Tag Instructions