Pine Tree Quilters Guild Inc.    

Membership Form

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

_______________________________

_______________________________

_______________________________


Yes, I would like to join Pine Tree Quilters Guild, Inc. I have enclosed my check in the amount of $12.00
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______________________________

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:
Virginia Morrell, Membership Registrar, 123 Sunny Hill Dr., Farmington ME 04938


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