Membership Form 10.2024

WILDFLOWER QUILT GUILD - Membership Form

Membership is from January 1 - December 31
Name
Address
City
Zip
Phone Number
Format: (000) 000-0000.
Phone Type
Birthday MMDD
Email
example@example.com
YesNo
If yes, name of quilting bee(s)
Joining an existing beeStarting a new bee
New Member - $30Returning Member $30New or Returning Junior Members $10
DUES - If paying online with PayPal select option below
prevnext( X )
New Member
$30.00 Dues plus $2.00 convenience fee

$32.00



New Member Joining after July 1st
$15.00 plus a $1.00 convenience fee

$16.00



Returning Member
$30.00 Dues plus $2.00 convenience fee

$32.00



Junior Member (ages 7-18)
$10.00 Dues plus $1.00 convenience fee

$11.00



Total

$0.00
PARTICIPATION - Please complete the following section:
YesNo
1st choice
2nd choice
YesNo
1st choice
2nd choice
YesNo
D. Suggestions for workshops/programs
** As a member of the Wildflower Quilt Guild, / understand that photos may be taken of me during regular quilt guild meetings and at workshops and may be used on the guild website and Facebook page.
Members signature

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