Calico Cut-Ups Membership Form
Full Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
E-mail
example@example.com
Birthday
-
Month
-
Day
Year
Date
Are you a seasonal resident?
Please Select
Yes
No
Do you own a longarm or embroidery machine?
Please Select
None
Longarm
Embroidery Machine
Longarm & Embroidery Machine
Would you be interested in teaching a class?
Please Select
Yes
No
Please provide a description of the class(es).
Would you be interested in serving on one of our committees?
Please select an option
Programs
Community Service
"Fun Raiser"
Sunshine
Not at this time
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Annual Membership
July 1 through June 30
$
15.00
Submit
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