New Customer Registration Form

NIQ Membership Form
Full Name*

First NameLast Name
Mailing Address*

Address

Address Line 2

CityState

Zip Code
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
E-mail*
example@example.com
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 Membership

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

$25.00

Membership Renewal - 1 Year

September 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