UTQG Membership Form

UTQG Membership Form
First Name
Last Name
Birthday
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
Email address where you would like to receive all guild communications:
example@example.com
Emergency Contact Person

First NameLast Name
Emergency Contact Person's Phone Number

Area CodePhone Number
Mailing List

The mailing list is only available to guild members who operate quilt-related businesses.
Would you like to be included in the mailing list?

Yes, it is okay to add my name to the mailing lists of quilt related businesses operated by our guild members.No, do not provide my name to any mailing list.
Volunteering
Check one:

Yes, I am interested in volunteering to serve on a committee.Not at this time.I need more information before making a decision.
Check any committees that you are interested in:

Community ServiceMembershipShow and TellWays and MeansNewsletterPublicityWebsiteProgramsBlock of WheneverDoor PrizesRetreatScrapbooking and PhotographyHospitalityChallenge
Media Release Permission
Do you give permission to Uncommon Threads Quilt Guild to use photographs of you and/or your quilts on the website or for other guild publications?

I doI do not
How would you like to be listed on the website or other guild publications?

Full nameFirst name last initial onlyDo not list my name
Uncommon Threads Quilt Guild Wavier of Responsibility
I, for myself, my heirs, executors and legal representatives, agree to indemnify and hold harmless Uncommon Threads Quilt Guild, their officers, members, agents, teachers and/or directors, from any claim, liability, or expenses whatsoever, including legal expenses, that I may suffer related to or incurred in any way as a result of my participation in any guild event. I, for myself, understand that I have access to the current by-laws on the website www.ucquilts.com, and understand that they include Article VII covering indemnification of Uncommon Threads Quilt Guild.
I agree
Indicate your payment preference

I will be paying with cash or checkI will be paying via Paypal
If paying by Paypal, type your Paypal username or email address so that we can match your payment with your membership form.
*If you are paying by cash or check, membership fees are $35. Email utquilts@gmail.com for payment contact information.

*NEW! For a small convenience fee, you may pay membership fees online! Send $36.50 to paypal https://www.paypal.com/paypalme/utquiltguild When you make your payment, please be sure to include your name and what you are paying for in the Paypal notes.
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UTQG Membership Form

Mailing List

Volunteering

Media Release Permission

Uncommon Threads Quilt Guild Wavier of Responsibility