New Customer Registration Form

NIQ Membership Form
Full Name*

First NameLast Name
Mailing Address*

Address

Address Line 2

CityState

Zip Code
Home Phone
Cell Phone
E-mail*
example@example.com
Please check at least one so we have an indication of your interests and where you may be willing to help out when called.

Activity DaysAuditBasket RaffleCommunity ServiceDoor PrizesFacebookFundraisingGreeterHospitalityKid's Quilt CampLibraryMembershipNewsletterPrograms / WorkshopsPublicityQuilt ShowRaffle QuiltStash CollectorsTicket SalesRetreatsWebsiteYard Sew-Sew Sale50/50 Raffle

Select Membership by checking the box beside your choice

New MembershipSeptember 1- August 31, 2026. This option is for an individual who has never been a member

$25.00

Membership Renewal - 1 YearSeptember 1 - August 31, 2026| This option is for an individual who has been a member in the past

$25.00

Total

$0.00

NIQ Membership Form