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
Format: (000) 000-0000.
E-mail
example@example.com
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you a seasonal resident?
Yes
No
Do you own a longarm he or embroidery machine?
None
Sewing machine
Longarm
Embroidery machine
Would you be interested in teaching a class?
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
Back
Next
PayPal Payment for Calico Cut-Ups Membership
prev
next
( X )
Annual Membership
July 1 through June 30
$20.00
$
20.00
Submit
Should be Empty: