The Gathering of Quilters Guild
P. O. Box 631      
Sylvania, OH 43560

Gathering of Quilters Guild Membership Form

Name_________________________________________________________________     Date_____________

Address_________________________________________________________________________________

City____________________________________      State____________________    Zip__________________

Phone_____________________________     May we publish this in member directory?      ___Yes      ___No

E-mail_____________________________    May we publish this in member directory?        ___Yes      ___No

Which method would you prefer for receiving newsletter?

    __E-mail notifications to read/print from website

    __U.S. mail         

Dues:   ___$20 regular (Sept. to Sept.)   ___$10 (after Jan. meeting)              ___New     ___Renewal          

So that we may better plan programs for the interests of our membership, please circle any of the following that may apply to you:

Quilter / Collector         Traditional / Contemporary       Piecing / Appliqué         Hand Quilt / Machine Quilt

Send completed form and payment to:

The Gathering of Quilters Guild
PO Box 631
Sylvania, OH 43560