RGVQG Membership

Rio Grande Valley Quilt Guild Membership
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Park
E.G, Pharr South, Alamo Country Club, Llano Grande
E-mail*

Confirmation Email
Mobile Phone
Home Phone
Usually a landline.
Other Phone
Summer Address same as Winter Adress?*

YesNo
Summer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you agree to receive informational SMS (text) messages?

YesNo
Have you ever been a member of the Rio Grande Valley Quilt Guild?

Yes, I'm a current member renewing my membership.Yes, I was a member in the past and would like to become a member again.No, I would like to become a member.
I have been referred by
the guild member who asked you to join.
Has any of the above address and phone information changed?

YesNo
What Changed?

NameEmailAddressPhoneSummer Address
Any dues paid in October, November or December will be applied to the current year AND the following year.

Dues paid in January through May will be applied to JUST the current year.

Dues paid in June through September will be adjusted to $15 and applied to JUST the current year. You may renew your membership for the following year starting in October.
Would you like to donate $1 to help cover processing fees?

YesNo
Date

MonthDayYear
Todays Date
datetext
Dues Amount
Donation Amount
Total Dues
Total Membership

prevnext( X )
USDDescription

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.