Pine Tree Quilters Guild, Inc. - Membership Form

Please send me the name and address of the contact for the following chapter(s):

_________________________________________________________________

_________________________________________________________________

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Yes, I would like to join Pine Tree Quilters Guild, Inc. I have enclosed my check in the amount of $12, payable to Pine Tree Quilters Guild, Inc.  Please send my membership card and the latest issue of the Patchwork Press.

Name _____________________________________________________________

Address ___________________________________________________________

City, State, Zip _____________________________________________________

Phone _______________________     Email __________________________________________

_____ New Member _____ Former PTQG Member

Our "membership year" runs from October 1 thru September 31. If you are joining us late in the year (e.g. after May) please indicate when you wish your membership to begin
by circling     NOW     or    NEXT YEAR .

Please send this form along with your check to:
Susan Gerhardt, Membership Registrar, 159 St. George Road, South Thomaston, ME 04858

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