CAPITAL QUILTERS GUILD MEMBERSHIP APPLICATION FORM


PLEASE CIRCLE ONE:            RENEWAL                 NEW MEMBER                        JUNIOR MEMBER 

Name: ______________________________________Telephone: ______________________________

Address: ____________________________________ City/Zip: ________________________________

*Email: _____________________________________ Birthdate (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 Fee:   Regular Member$25               or   
Junior Member $5 (age 9-17 years) with Name of Sponsoring Regular Member: ____________________

Return completed form and a check to:  
Membership Chairperson, Capital Quilters Guild, P.O. Box 192, Concord, NH 03301-0192

"Where friends meet and make new friends."
P.O. Box 192.Concord.NH.03302-0192